• Job Description

  Req#: MEDIC013295

  Who is QTC Management Inc.?

  QTC is 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.

  What part would you play in this role?

  As a Medical Case Specialist I, you will be the first line of communication working closely with Veterans to ensure appointments are scheduled timely. You will provide internal and external support to stakeholders by providing detailed information.

  Typical Day:

  • Mon – Fri: 8:00am – 4:30pm CST
  • Positions are located ONSITE at our San Antonio, TX location.

  Pay and Benefits:

  Starting pay: $ 16.20 per hour

  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 here.

  Job Summary:

  Under limited supervision, performs a variety of activities in support of a specific project/business/technical unit. Gathers, collects, records, tracks and verifies data and information from multiple sources. Uses software for functional area to schedule appointments and document in the case management systems. Compiles and generate reports, statistics, timelines, tables, graphs, correspondence and presentations. Provides data and information to others on functional unit processes and procedures. Delivers exceptional customer service at all customer touch points.

  Essential Duties and Responsibilities:

  • Answer phones from automated call distribution system
  • Triage daily download of referrals and ensure appropriate worksheets are assigned to corresponding conditions as identified by Veteran’s Administration
  • Verify appropriate CPT and CLIN codes are assigned to each case.
  • Communicate directly with claimants and providers.
  • 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.
  • Confirm consultative reports and diagnostic test results are received in a timely manner.
  • Meet or exceed contract timeliness guidelines in both the scheduling and case management systems.
  • Other projects and duties as assigned.

  Competencies:

  • Proven ability to plan and organize workload.
  • 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.

  Education and/or Experience:

  • High School diploma, or equivalent (GED) 2 years of additional relevant experience in lieu of diploma/GED
  • 0 to 1 year of related experience
  • healthcare experience preferred.
  • Experience with electronic medical scheduling and case management software
  • Experience with medical coding and knowledge of medical terminology
  • Strong computer skills at intermediate level
  • Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation.

  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.

  QTC Management Inc. 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, sexual orientation, people with disabilities protected under law, and protected veteran status.

  Qualifications

  Education

  Required

  High School Diploma

  GED

  Experience

  Required 1 year

  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

  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

  Licenses & Certifications

  Preferred

  Medical Assistant

  Certified Medical Coder

  Certified Nursing Asst

  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)

• About the company

  QTC is the largest provider of disability and occupational health examination services. QTC delivers technically advanced medical exam solutions.

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