Case Management Support Specialist – Early Intervention
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Job Description
Remote Case Management Support Specialist supporting Early Intervention case intake, authorizations, documentation, and billing coordination. Maintaining accurate, confidential records for healthcare providers and families.
Responsibilities:
- Open and set up new cases promptly and accurately in case-management systems
- Review referrals and enter demographics, contact information, provider details, service information, and relevant dates
- Upload, label, organize, and maintain required case documentation
- Review records for missing, incomplete, outdated, or conflicting information and follow up with appropriate parties
- Review, enter, and update service authorizations
- Monitor pending, missing, incorrect, and expiring authorizations
- Compare authorization information against service plans and provider schedules to identify discrepancies
- Follow up with coordinators, providers, EI Hub contacts, and internal teams to obtain corrections or updated authorization information
- Escalate urgent authorization issues that may impact services or delay billing
- Communicate with the Billing Department regarding authorization changes, provider assignments, service dates, documentation status, claim holds, and denials
- Research outstanding billing items and assist with resolving issues
- Provide billing staff with accurate case information and supporting documentation
- Monitor coordinator email accounts and follow up with providers regarding missing, late, incomplete, or inaccurate session notes
- Track outstanding provider documentation and productivity items
- Follow up on missing or expired prescriptions and scripts
- Monitor progress reports and follow up on upcoming, overdue, incomplete, or incorrect reports
- Maintain accurate tracking logs of outreach attempts, responses, outstanding items, and resolutions
- Keep case records, tracking logs, status fields, and document folders accurate and up to date
- Review assigned work queues and outstanding-item reports daily and prioritize tasks by urgency and deadlines
- Communicate professionally with providers, physician offices, coordinators, billing teams, families, and internal staff
- Provide regular updates on outstanding items and case status
- Identify and escalate barriers, service risks, complaints, negative reports, and unresolved discrepancies
- Assist with audits, case reviews, reports, and other administrative tasks
- Maintain strict confidentiality and comply with HIPAA and applicable privacy requirements
Requirements:
- Previous administrative experience in healthcare, home care, therapy, Early Intervention, case management, or a related environment is strongly preferred
- Experience with authorizations, billing follow-up, clinical documentation, prescriptions, or provider coordination is preferred
- Strong written and verbal English communication skills
- Excellent attention to detail, organization, follow-through, and time-management skills
- Ability to review and compare service plans, authorizations, prescriptions, session notes, and progress reports for accuracy and completeness
- Comfortable communicating by email and phone with healthcare providers, physician offices, internal departments, and other stakeholders
- Proficient with Microsoft Office, email, spreadsheets, shared trackers, and electronic case-management systems
- Comfortable working with high-volume workloads and managing multiple cases and deadlines simultaneously
- Ability to work independently during designated U.S. business hours while collaborating effectively with a team
- Must be comfortable handling confidential information and adhering to HIPAA requirements
- Strong persistence and professionalism when following up on outstanding items
- Desktop computer with at least one external monitor required
Benefits:
- Independent Contractor arrangement
- Remote work setup
- Monday–Thursday, 9:00 AM–5:00 PM; Friday, 9:00 AM–12:30 PM schedule
- 45-minute unpaid break, Monday–Thursday
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