Data Entry Associate (Medical Claims)

Position Title: Care Associate (Remote) 2025-1401

Job Category: Medical Services

Job Type: Full Time

Care Associate (Remote)
08 hourly - $24.03 hourly) depending on experience and qualifications.

Are you energized by working in a fast-paced environment on the front lines helping injured workers? Do you want to work in an organization that values intelligence, integrity, and initiative? Do you have a commitment to helping individuals with severe and persistent workers compensation illnesses?

As a Care Associate, you will operate from your home office while remaining an integral member of a nationwide supportive team dedicated to providing administrative support to the Clinical Teams of Nurses and Vocational Rehabilitation Counselors assigned to high-profile Federal contracts. As a Care Associate you will provide increased efficiency for the operation by providing general support to the medical staff in a team environment The CMU assists clinical staff throughout the entire case management process. You will ensure high standards of service delivery and compliance while playing a crucial role in enhancing patient care.

Care Associate of Central Management Unit Duties and Responsibilities

Ensure by confirmation that required documents have been received; Access and assign cases for clinical professionals based on claim specifics, geographic needs, and caseloads
Enter new claims data into the claims management system accurately; maintain data integrity.
Perform quality assurance reviews according to protocol
Review, organize, attach, and label incoming medical documents, to appropriate case management systems.
Timely data entry for new and existing referrals.
Collaborate with members of the health care team to provide ongoing case management services.
Understand the organization's quality management program and the case management associates role within that program
Care Associate of Central Management Unit Qualifications
? Associate degree (or higher) in clinical or medical health administration or related field preferred
? 3+ years of industry experience, healthcare network, patient care scheduling, medical assistant, workers' compensation or similar equivalent combination of education and experience
? Medical terminology expertise preferred
? Worker's compensation, disability, and/or liability claims processing experience preferred.
? Customer Service experience in the medical field preferred
? Ability to utilize an Electronic Medical Record or other electronic platform
? Demonstrated ability to use Microsoft applications and demonstrate basic electronic technology understanding
? Computer literacy, including MS Word, Excel, and Outlook
? Proficiency in Microsoft Office, tech-savvy
? Responsible for having reliable High-Speed Cable or Fiber Optic Internet service and Internet Router in established home office
? Must have Excellent Communication Skills via Phone, E-Mail, Text, Verbal, and Documentation Skills and provide 24-hour follow-up to all communication

Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assetstheir employees, and their customers. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.

08 hourly - $24.03 hourly). A comprehensive benefits package is offered including, but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

To be considered for this position, please submit a resume, and complete the application.
It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.

Successful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. If you need a disability-related accommodation to complete the application process, please contact Government Solutions regarding accommodations.

All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the persons relatives, friends or associates.

This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.

This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.

Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. Managed Care Advisors