Administrative Medical Management Professional Job at Majoris Health Systems

Majoris Health Systems Tigard, OR 97223

Up to $42,099 a year

We are GROWING
Are you working at a dead end office job and looking for something more challenging? Majoris is growing exponentially and we need smart, critical thinkers with office experience to provide excellent customer service to our clients. As a Medical Services Coordinator, you will be acting as the administrative liaison between the insurer, medical providers and injured workers to facilitate the delivery of timely and appropriate care to injured workers, and assist in their successful return to work. This is a solid opportunity for anyone looking to build a career as a claims management professional in the healthcare/workers’ compensation industry. Our new team members have access to strong mentorship and support in their professional growth – over 35% of our staff has been here over 5 years!

Principal duties will include:

  • Review of medical records, treatment plans and return to work information to identify courses of care falling outside of guidelines
  • Facilitation of the prior authorization process with physician reviewers
  • Development and management of medical treatment and return to work plans of action to ensure individual claims are medically appropriate and within guidelines as related to the claims.

Training Program:
We provide a 6-8 week training class that will teach you how to successfully navigate the medical case management tasks that will enable you to be a success at your new career. We recognize that the first year in the position is the most challenging, so we’ve built in benchmarks during the first six months that when met earn you wage increases. We want you to be successful, successful employees are the backbone of our company!

About the Company:
Majoris Health Systems is a growing, multi-state managed care organization with a proactive approach to medical management focused on quality, service and cost in order to provide managed care at its best. Since 1991, we have contracted with physicians, hospitals, and other health care providers to provide timely and appropriate medical services to covered employees with work-related injuries or illnesses.

Benefits Offered:
Majoris Health Systems offers a competitive benefit package. Our employees enjoy a generous amount of time off (nearly 4 weeks) in addition to 11 paid holidays, company BBQ’s and events, fully paid health benefits, employer match to employee 401(k) contributions and flexible spending options! You also get to choose from various options of schedules to work including flexible work from home schedule.

Qualifications:
Preferred candidates will have a college degree or equivalent work experience. The ability to manage change, multi-task and maintain excellent customer service in a fast-paced, challenging environment will be necessary to succeed. Strong written & verbal communication skills, as well as intermediate computer competency. Problem solving and critical thinking skills are beneficial to the principal duties of the position. Spanish speaking is a plus.

If this sounds like something you are interested in pursuing; please submit your resume and cover letter to be considered for this opportunity. We look forward to hearing from you!

  • EOE'
  • You must be able work at least one day a week. You would be responsible for own travel.

Job Type: Full-time

Pay: Up to $42,099.20 per year

Benefits:

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

COVID-19 considerations:
Some employees are working remotely from home, and those remaining in the office each have their own office in order to maintain appropriate social distancing. This is a purely office administrative job, there is no patient care/interaction.

Application Question(s):

  • You must be able work in the office at least one day a week. You are responsible for own travel.
  • You must pass a background check.

Work Location: In person




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