Case Manager Service Representative - Remote

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

This position is responsible for ensuring complete and accurate client account records, providing support to case managers (CMs), representatives from agencies, clients, and internal team partners.

This role…

• Collaborates with various stakeholders, including case managers (CM) and agencies, to facilitate the enrollment of new members and update member accounts, addressing requests from CMs, agencies, and other authorizers.

• Responds to incoming phone calls from CMs, agency representatives, and other authorizers, ensuring effective communication channels.

• Maintains ongoing communication with agencies, CMs, and authorizers to verify and obtain updated and accurate information, as necessary.

• Manages assigned tickets related to referrals, authorizations, disconnects, holds, transfers, service jobs, and other tasks.

• Processes tasks in work queues to facilitate the accurate transfer or disconnection of client services for billing purposes.

• Ensures the timely and accurate updating of authorizations for precise billing, contacting CMs and agencies for new or corrected authorizations when needed.

• Promptly enters referrals for new members on the same day of receipt.

• Sends notifications (via mail, email, or fax) to case managers regarding potential disconnects and completed disconnects of client services.

• Documents all communications with case managers and agency representatives in the document management system.

• Addresses issues identified and other reports related to records.

• Fosters communication with other team members and teams through email, phone calls, and internal system notes and messages.

• Adheres to data protection requirements, utilizing client data solely for managing the client's account with VRI and associated claims.

• Comply with organization and Case Manager Support team policies, procedures, job aids, reference materials, memos, notes, videos, and other provided training.

• Achieves individual, team, and department goals for both productivity and quality.

• Participate in other projects or duties as assigned.

We are interested in speaking to individuals with the following…

• High School Diploma required.

• Zero (0) plus years of experience.

• Or equivalent combination of education and/or experience.

• Basic computer skills with a comfort in utilizing electronic files and saving documents.

• Basic familiarity with Microsoft Outlook and Teams is preferred.

• Demonstrated ability to effectively manage time and complete tasks within specified periods.

• Strong team-oriented mindset coupled with a positive and cooperative attitude.

• Capable of handling multiple tasks simultaneously, displaying adept multitasking abilities.

• Customer service skills at an entry level, demonstrating a commitment to providing excellent service.

• Attention to detail in task execution and communication.

Salary: starting at $15/hr

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of the position. Reasonableaccommodationsmay be made to enable qualified individuals with disabilities to perform the essential functions of the job.

Primarily seated work; extensive computer and telephone use; occasional standing, walking, reaching, bending, andlifting upto 10 lbs.

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

• Medical, Dental, and Vision insurance
• Employer Paid Basic Life Insurance and AD&D
• Voluntary Life Insurance (Employee/Spouse/Child)
• Health Care and Dependent Care Flexible Spending Accounts
• Pre-Tax and Post --Tax Commuter and Parking Benefits
• 401(k) Retirement Savings Plan with Company Match
• Paid Time Off
• Paid Parental Leave
• Short-Term and Long-Term Disability
• Tuition Reimbursement
• Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

• EEO is The Law - click here for more information
• Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
• We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at

Originally posted on Himalayas