Current Job Openings

Senior Care Management Assistant

Location: 1901 Market Street

We currently have an opportunity available in our conveniently located Center City Philadelphia location for a Senior Care Management Assistant. The Assistant will be responsible for daily review of Independence Blue Cross' hospital census report, preparation and distribution of onsite nurses’ daily review work in conjunction with hospital resources to confirm patients’ admission and accurate location.

Responsibilities:

• Contacts physician’s offices to determine status of pre-certed cases not admitted.
• Updates cases with complete and appropriate data entry and date changes, dependent on findings.
• Maintains medical records list for retrospective review and submits to facilities timely; keeps accurate logs for same.
• Completes data entry for discharged patients and sends appropriate summary letters.
• Enters calendar days or discrepancy notes to reconcile bed types entered by nurses. Completes discrepancy reports accurately and within designated timeframes.
• Maintains hospital logs on shared drive. Utilizes MaxMC data base and all other systems appropriately.
• Completes other related and facility-specific duties as assigned.

Qualifications:

High school diploma or equivalent, degree preferred. Computer skills required (MaxMC and Microsoft Office). Prior experience as a CMA or Precert Specialist position preferred. The incumbent must be able to learn quickly, think logically, possess a problem-solving aptitude, and understand the complicated relationship between the IBC Family of Companies and Managed Care Programs. Attention to detail and accuracy is crucial. This position requires excellent customer services skills, including an understanding of medical terminology in order to provide the best service to the hospital provider and to the onsite review staff. The candidate must be computer-literate and able to research problems, analyze facts and make prudent decisions, which could ultimately impact payment to the provider.
 

Apply

Please be sure to reference job code: 27522

Mail: Independence Blue Cross Human Resources - 27522 1901 Market Street, 25th Fl Philadelphia, PA 19103

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After receiving an applicant's information, Independence Blue Cross will hold the responses strictly confidential. EOE, M/F/D/V. No agency calls please.

Independence Blue Cross is an Equal Opportunity Employer.