Case Manager - Markham, Canada - National Healthcare Solutions, Inc.

National Healthcare Solutions, Inc.
National Healthcare Solutions, Inc.
Verified Company
Markham, Canada

1 week ago

Sophia Lee

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Sophia Lee

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Description

Case Manager
F/T Regular

Newmarket ON CA, Newmarket, ON, CA


EPIC is searching for TOP TALENT Epic brings a strong legacy of experience and in-depth knowledge gained from 35+ years in a challenging and ever-evolving marketplace. Part of an award-winning enterprise group, the affiliated healthcare companies have more than 450 employees worldwide.**
Senior leadership saw key synergies between National Healthcare Solutions, Inc. (NHSI) founded in 1992 and Ardent Assistance founded in 2017. Joining these two companies into a new entity, supplemented by VUMI's exclusive Latin American proprietary network - enables Epic to offer solutions in all the Americas not available elsewhere in the marketplace.

Duties and Responsibilities

  • Case manager will review cases (inpatient and outpatient), assist customers, will collaborate with multiple stakeholders, and will ensure the overall management of a medical claim in accordance with the terms and conditions of insurance contracts.
  • We are looking for bilingual French/Spanish Case Managers.
  • Manage medical cases
  • Conduct daily monitoring of hospitalized patients and/or outpatient care, updating notes and keeping records of decisions in computer system
  • Identify and assess customers' needs to assist with best outcomes
  • Interpret policies to provide insurance benefits abd eligibility to insured and health providers
  • Build sustainable relationships and trust with customers through open and interactive communication
  • Follow procedures, guidelines and policies
  • Comply with insurance regulatory bodies
  • Recommend solutions in regard to patient medical repatriation including commercial transfers and airambulance transfers
  • Align with company values, vision and mission

Job Requirements

  • High school diploma or equivalent (Minimal); Postsecondary education preferred
  • Familiarity with Medical terminology
  • Strong phone contact handling skills and active listening
  • Excellent typing/computer, communication and presentation skills
  • You are a Team Player
  • Ability to multitask, prioritize, and manage time effectively; adapt in a busy environment with fluctuating workloads
  • Ability to work day, evening and weekends.
  • Excellent bilingual communication (both written and verbal in French and English or Spanish and English)

Education and Experience
Case Management: 1 year (preferred)

  • Emergency assistance experience (2 years)
Customer Service: 1 year (preferred)

  • Experience in management of outpatient and inpatient travel medical insurance cases.
  • Experience in the healthcare system of the United States & Canada
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