Medical Management Specialist — Remote in Indiana

Job overview

The Medical Management Specialist — Remote in Indiana role is fully remote for Indiana, with Indianapolis, IN shown as the listing location. Pay is $18.00–$19.25 per hour; the posting specifies $18.50 per hour during training and $19.25 per hour after training. The role provides non-clinical support to medical management operations and handles inquiries from members and providers. The specialist reviews incoming files, gathers case information, routes cases to the appropriate area, and maintains tracking and documentation. The role supports the administration of medical benefits while excluding utilization-management activities that require interpretation of clinical information.

What you'll do

• Gather clinical information about cases and determine the appropriate area for referral or assignment
• conduct initial file reviews to determine required action
• maintain tracking databases
• prepare reports and document actions
• respond to requests, calls, and correspondence within scope
• provide program information to members and providers
• may review and assist with cases
• may coordinate with community organizations under an RN Case Manager’s direction
• liaise with medical management operations and internal departments
• provide mentoring and work direction to lower-level associates.

What we're looking for

Skills & competencies

medical management specialist

remote in indiana

call center

medical benefits

member support

provider support

case routing

file review

database tracking

indianapolis in

monday–friday

$18.50–$19.25 per hour

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, vision, and supplemental insurance
• 80 hours of paid time off after 90 days
• 10 paid holidays.

Why this role

Fully remote work-from-home opportunity; Monday–Friday, 8 a.m.–5 p.m. The posting requires a high school diploma and at least five years of administrative and customer service experience, or equivalent background.

About the employer

Professional Management Enterprises is hiring for this role. Industry: All Other Miscellaneous Ambulatory Health Care Services. Sector: 62.