Medical Case Specialist - Full-time

Do you want to make a difference in the lives of America’s military service members? Are you looking for a change of pace, with reasonable and flexible hours?

 

We are seeking qualified candidates for Medical Case Specialist opportunities on our Veteran Affairs Operations team. You will serve as the face of the organization through direct interactions with military service members, delivering exceptional customer service at all touch points.

Who is Leidos QTC Health Services?

We are the nation’s largest provider of disability and occupational health examination services. We are PASSIONATE about our country’s veterans, UNITED as a team and INSPIRED to make a difference. To provide high-quality, timely, and customer-focused medical examination service solutions, we honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all.

In this rewarding role, you will:

• Conducting high volume outbound calls to claimants to schedule medical evaluation appointments,  follow ups and any other needs in the scheduling process
• Delivers exceptional customer service at all customer touch point
• Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by the Veteran’s Administration office
• Verify appropriate Current Procedural Terminology (CPT) and CLIN codes are assigned to each case
• Obtain medical history for specific conditions
• Determine appropriate examinations, tests and specialists required for each case
• Schedule appointments for examinees including follow-up appointments and rescheduled appointments
• Ensure all examinees and providers receive necessary documentation

You must have:

• 1 year of customer service background in a fast paced environment  
• High School Diploma / GED Required or 2 years of relevant experience in lieu
• 1-3 months of medical assistant background or equivalent medical terminology background
• Strong Communication/ Customer Service Skills
• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

Preferred to have:

• Highly driven with the ability to learn quickly
• Computer Literacy  – Working with Dual Monitors and multiple software’s (Word, Outlook, Excel)
• Proven ability to plan and organize work load
• Ability to manage competing priorities in a fast paced work environment
• Good follow through skills
• Must possess the ability and flexibility to work early morning, evening, and/or weekend shifts

Typical Day:

• Hours will be Mon – Fri: 8:00am – 4:30pm
• Positions are located ONSITE at our Nashville office location... 100 Centerview Drive, Nashville, TN 37214

  • Employment as a Medical Case Specialist I will include successful completion of a 90-day probationary period during which you will be given objectives to achieve. This timeframe lets you assess your readiness for the position as well as allows Leidos QTC Heath Services to determine your ability to successfully perform the job. You will be provided objectives, documentation, training and performance feedback during the 90-day probationary period as part of your assimilation to the role. After successfully completing the 90-day probationary period, you will be considered a permanent employee.

  • 4-6 months of coaching, foundational, and mentorship training
  • Upon graduation of training, there is a potential to work a hybrid schedule (3 days from office, 2 days from home)

Pay and Benefits

• Starting pay is $17.85/per hour with a 3% increase after 90 days and a 3% increase upon graduation from training
• Eligible for a quarterly bonus up to 6% and annual merit increases

The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law

We offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance, and we are proud to provide an employment package that attracts, develops and retains the best talent:

• Starting your first day, you will have access to flexible benefits, including health and wellness programs, long and short term disability, an employee assistance program, employee referral bonuses, credit union access and flexible spending accounts
• Competitive compensation and quarterly bonuses
• Student Loan Assistance
• Tuition reimbursement
• Paid Parental Leave
• A 100% company match of your pre- and post-tax contributions up to 5% of your salary, including immediate vesting of company contributions
• Generous paid time off (minimum of 14 days/year), as well as 10 paid holidays
• An inclusive and ethical work place

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available .

Commitment to Diversity

Leidos QTC Health Services is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

*This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties, and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

Experience

Required

• Less than 1 year(s): Experience in healthcare, medical, or insurance related industries

Preferred

• Direct healthcare experience in medical case management or quality assurance to include the review of complex multi-focal medical reports for quality, clarity, thoroughness and insightful medical explanation
• Experience with electronic medical scheduling and case management software

Education

Required

• High School Diploma or better
• GED or better

Licenses & Certifications

Preferred

• Medical Assistant
• Certified Medical Coder
• Certified Nursing Asst

Skills

Required

• Written Communication
• Verbal Communication
• Computer Literacy

Preferred

• Problem Solving
• Medical Documentation
• Customer Service
• Multi-line phone
• MS Office
• Medical Scheduling Software
• Medical Terminology
• Medical Data Entry
• Electronic Medical Records

Behaviors

Preferred

• Enthusiastic: Shows intense and eager enjoyment and interest
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Team Player: Works well as a member of a group
• Innovative: Consistently introduces new ideas and demonstrates original thinking

Motivations

Preferred

• Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
• Goal Completion: Inspired to perform well by the completion of tasks
• Job Security: Inspired to perform well by the knowledge that your job is safe
• Growth Opportunities: Inspired to perform well by the chance to take on more responsibility

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)