Case Coordinator - Hybrid

Job Summary

The Case Coordinator is responsible for entering medical documentation and other correspondence related to the leave administration process (FMLA, Disability, etc.) into our database in a timely and accurate manner. The position requires that you liaise with and follow up with team members to ensure that the information entered into the database is accurate and supportive of us creating written correspondence that conforms to our client's documentation and quality assurance standards.

This is a full-time, non-exempt role and the ideal candidate will work from Monday to Friday, 7:00AM-3:30PM PST.

Remote work is offered for this role, but the candidate MUST have the flexibility to work from our Orange, CA corporate office, when needed.

• Responsible for responding to requests for leave. Primary duties include, but are not limited to:
  • Entering source documents into our database in a timely fashion.
  • Providing exceptional customer service by exhibiting a high sense of urgency, exceptional follow-up and follow-through and positive communications, both verbally and in writing.
  • Ensuring the accuracy, completeness, and conformance to the workflow process before moving case to the next level.
  • Demonstrating attention to detail and thoroughly reviewing documentation through Work Care's case management system.
• Scanning through information to identify pertinent information.
• Correcting errors and organizing the information in a manner that will optimize swift and accurate capturing.
• Entering and updating information into our database.
• Performing preliminary case reviews and examinations.
• Completing an intake checklist in preparation for the case review.
• Reviewing the previous case histories and attaching all relevant documents from prior cases.
• Reviewing the intake referrals for completeness and ensuring that all information received regarding prior approval histories is consistent with Work Care's records.
• Being responsible for the initial triage review of the medical documentation and identifying potential work restrictions and authentication issues.
• Performs additional duties and assumes additional responsibilities as identified by supervisor for the efficient operation of Work Care.

Education and Experience

• High school diploma or equivalent required.
• Data entry, administrative, and/or customer service experience in a medical setting required.
• Familiarity with HIPAA.
• Knowledge of federal and state leave of absence administration and FMLA preferred.

Skills and Competencies

• Strong verbal, written and interpersonal communication skills.
• Must be able to demonstrate the ability of maintaining privacy and confidentiality.
• Strong critical thinking skills; problem solving, and decision making.
• Must have the ability to gather data, compile information and prepare reports.
• Ability to manage multiple priorities, with attention to detail and accuracy in a deadline driven environment.
• Ability to create and edit written materials.
• Ability to communicate effectively, verbally and in writing, to a variety of audiences.
• Ability to examine documents for accuracy and completeness.
• Skill in organizing resources and establishing priorities.
• Demonstrate cooperative behavior with colleagues, supervisors and clients.
• Strong time management, organizational, and follow-through skills.
• Ability to meet and exceed daily and weekly individual performance goals.
• Ability to work independently as well as assist other team members when needed.
• Ability to concentrate for lengthy periods and perform accurately with adequate speed.
• Strong computer skills, including touch-typing.
• Requires regular and predictable attendance and punctuality.

Computer Skills

• Must be competent in the Windows operating system environment, Adobe Professional, Microsoft Office Suite (Outlook, Word, Excel and PowerPoint) and learn other software as needed.

Physical Demands

• Requires sitting for long periods of time, working at a desk.
• Working under stress and use of computer/phone.
• Manual dexterity required for use of computer keyboard.
• Occasionally may be required to stand, walk, stoop, kneel and/or crouch.

Work Environment

• Mainly indoor, office environment conditions.
• The noise level is usually moderate.
• Air quality is good and temperature is controlled.
• Work Environment must be free from background noise and distraction. At home setup must meet all Company IT, privacy, and safety requirements.

This position has an hourly pay range of $22.00 - $25.00 per hour. Final compensation offered will be determined by factors such as job-related knowledge, skills, experience, and qualifications.

Benefits for this position include paid time off; medical, dental, vision, and critical illness insurance;

SA HRA, and FSA; and disability insurance; EAP; 401K; legal and identity theft coverage; pet insurance and more.

The preceding statements describe the general job responsibilities and individual's qualifications inherent to this position. These are not intended to be construed as…