Assistant Case Management Executive (Bilingual)
US Tech Solutions, Inc.Montgomery, AL, US6 days ago
Job type
- Temporary
Job descriptionProvide enrollment assistance and guidance to Medicaid-eligible recipients and their families regarding the HIPP / Premium Assistance program via phone or correspondence. Verify, document, and investigate existing health coverage for Medicaid recipients and their dependents (employer plans, COBRA, etc.). Assist in identifying members who may qualify for HIPP / Premium Assistance. Obtain and verify documents required for eligibility : insurance policies, employment verification, premium invoices, etc. Maintain active case files during open enrollment cycles, premium review, and payment processing. Process, review, and follow up on premium payments / reimbursements, ensuring timely and accurate payments, and tracking any discrepancies. Perform ongoing case maintenance and audits, updating records for status changes, renewals, terminations, or escalations. Complete periodic reporting (e.g. case metrics, enrollment trends, audit reports) as required by state or internal stakeholders. Respond to high volumes of inbound and outbound calls and inquiries about eligibility, coverage, program rules, and status. Conduct advanced document review, legal research or case escalation as needed, particularly on more complex cases. Prioritize case events, manage deadlines, escalate issues to supervisors or subject matter experts when appropriate. Ensure strict adherence to HIPAA privacy and security standards when handling protected health information (PHI). Follow Medicaid, federal, and Alabama-specific HIPP / premium assistance rules, policies, and procedures. Support internal or external audits, submitting documentation and explanations for case decisions. Participate in training, quality assurance, and performance improvement programs related to case management operations. Coordinate with state Medicaid agency staff, employers, insurers, and service providers as needed. Liaise with internal audit, legal, compliance, and escalation teams to resolve disputes or complicated cases. Provide feedback or suggestions to improve processes, workflows, policies, or system tools. At least 2 years of experience in health insurance, Medicaid, public health programs, or government-sponsored programs (or equivalent experience). At least 2 years call center / phone-based experience (inbound and outbound) making inquiries, responding to recipients. Strong customer service, written and verbal communication skills Excellent organizational, detail orientation, and ability to work under deadlines Ability to analyze data, apply logical reasoning, and make informed decisions Proficiency in Microsoft Word, Excel, and familiarity navigating web-based systems or internal tools Working knowledge of HIPAA privacy / security and handling of sensitive data Ability to handle stress, prioritize competing tasks, and escalate appropriately Professional demeanor, interpersonal skills, adaptability Experience specifically with HIPP, premium assistance, Medicaid or health insurance programs Call center / high-volume case operations experience Bilingual (especially in languages common in the region) Familiarity with health care / insurance terminology Previous experience with auditing, compliance, or fraud waste abuse program work Hours : Standard business hours, Monday–Friday (with possible occasional overtime) Travel : Minimal (in-state) as required for training, meetings, audits Equipment : Standard office setup (PC, phone, secure access to case management systems) Workload : High-volume case handling with performance metrics (turnaround times, accuracy, call volumes) High school diploma or G.E.D.
Duration : 6+ Months Contract to Hire
Position Summary :
- The Assistant (Case Management) will support the HIPP / Premium Assistance program by handling case-level operations : verifying insurance coverage, maintaining case files, processing premiums and payments, interacting with recipients and employers, and ensuring program compliance. This role helps ensure that Medicaid pays premiums only when cost-effective and that eligible recipients benefit appropriately.
Key Responsibilities & Duties :
Compliance & Policy :
Collaboration & Communication :
Qualifications & Skills :
Preferred / Desired :
Work Environment & Conditions :
Basic Qualifications :
About US Tech Solutions :
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit
www.ustechsolutions.com
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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Case Management Assistant • Montgomery, AL, US
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