Centralized Scheduling Representative
Columbus, OH jobs
We are looking for an enthusiastic and professional Centralized Scheduling Representative to join our growing team. As a Centralized Scheduling Representative, you will be the primary point of contact for our patients and will play a key role in creating a positive experience for them. You will be responsible for greeting patients, routing calls, scheduling appointments, processing consults, registering and scheduling patients.
Essential Functions:
Professionally greet all patients.
Register all new patients.
Update all established patient demographics.
Accurately enter all insurance information
Schedule patient appointments for consultations, medical procedures, and follow-up visits.
Process all incoming consultation requests-1st and 2nd calls to patients and return paperwork to the requesting physician office.
Indexing of consultation requests and external office records.
Professionally handle patient complaints.
Follow all policies and protocols of the Central Scheduling Manager, Clinical Manager, and Billing Director.
If you are a highly motivated individual with a passion for providing excellent patient care, we encourage you to apply for the Centralized Scheduling Representative position. We offer a competitive salary and benefits package, as well as opportunities for growth and advancement within our organization.
Looking for a better work/life balance? Our career opportunities have Monday-Fridays work schedules.
Competitive Pay & Benefits: Med/Dental/Vision, Paid Personal Time, Paid Holidays, 401K, Paid STD/LTD/Life
PM20
Requirements:
Qualified Applicant should have at least 1 year experience in customer service environment, medical office preferable.
Excellent oral and written communication skills required.
Knowledge of GE-athena Practice management software beneficial but not required.
Knowledge of Microsoft Office software beneficial but not required.
Ability to operate a computer and basic office equipment required.
Ability to operate a multi-line telephone system.
Ability to establish and maintain effective working relationships with patients, team-members, and other co-workers.
Must be well organized and detail oriented.
Work hours: Full Time Monday-Friday 7:30am-4:30pm with occasional overtime
PIe966d22c0b30-7819
Member Support Representative
Barberton, OH jobs
The Member Support Representative is considered the “front line” of the ministry in assisting members with general inquiries by phone and email. This entry-level role is ideal for candidates who enjoy engaging with people, are servant-minded, and can provide compassionate and professional support. In addition to answering questions and resolving issues, the position also provides opportunities to minister to members through prayer and spiritual encouragement.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Respond to member inquiries via phone and email promptly, with time sensitivity and professionalism.
Verify and update member information accurately in CHM's systems.
Log and track all interactions in the member management system (Gift Manager or CRM).
Follow standard operating procedures (SOPs) when handling common inquiries.
Provide accurate information about CHM guidelines, membership, billing, and processes.
Attract prospects by answering questions, giving suggestions, and making recommendations to obtain membership when appropriate.
Review and assess member concerns, escalating to management when necessary.
Handle escalated or emotional calls with empathy, offering prayer or spiritual encouragement when appropriate.
Meet established performance standards (e.g., call volume, response time, member satisfaction).
Participate in team meetings, training sessions, and development opportunities to stay current with CHM policies and systems.
Protect member confidentiality and comply with HIPAA and organizational privacy standards.
Thrive in a collaborative team environment and contribute positively to overall team goals.
Uphold the mission, vision, values, and service standards of CHM in every interaction.
Maintain a professional demeanor at all times.
Perform other job duties as assigned by management.
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
Required: High School Diploma or equivalent.
Preferred: Some college coursework in business, communications, or related field; or 1-2 years of customer service experience.
Proficiency in Microsoft Office programs (Word, Excel, Outlook).
Ability to operate a PC and navigate information systems/applications (Gift Manager or similar CRM software).
Experience using routine office equipment (fax, copier, printers, multi-line telephones, etc.).
Strong verbal and written communication skills, with active listening ability.
Strong organizational, analytical, and problem-solving skills.
Ability to manage workload, multi-task, and adapt to changing priorities.
Patience, empathy, and conflict-resolution skills for handling sensitive or difficult calls.
CORE COMPETENCIES
Interpersonal Communication
Servant Leadership Mindset
Teamwork & Collaboration
Conflict Resolution
Detail Orientation & Accuracy
Adaptability & Flexibility
PERFORMANCE EXPECTATIONS
Maintain accuracy and efficiency in all member records updates.
Meet or exceed department standards for call and email response times.
Consistently achieve high member satisfaction scores.
Demonstrate reliability, accountability, and professionalism in all duties.
WORK ENVIRONMENT & PHYSICAL REQUIREMENTS
Standard schedule: Monday-Friday, 9:00 AM-5:00 PM (with flexibility for ministry needs).
Office-based environment with regular phone and computer use.
Ability to sit at a desk and use a computer/phone for extended periods.
Manual dexterity for typing and handling office equipment.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Account Service Representative -Field Sales
Doral, FL jobs
The Account Service Representative is responsible for delivering exceptional service to brokers, agencies, and employer groups. This role supports the full lifecycle of group accounts-renewals, enrollments, changes, claims support, quoting follow-ups, and carrier communication. The ASR works closely with the sales and operations team to ensure accuracy, timeliness, and high customer satisfaction
What you'll be doing:
Broker & Agency Support:
Serve as the primary point of contact for agencies regarding group insurance questions, documentation, renewals, and service needs.
Assist brokers with quoting requests, benefit summaries, enrollment materials, and onboarding documentation.
Provide clear guidance on medical, dental, vision, GAP, and ancillary benefits.
Group Account Management:
Support new group onboarding, including application review, census validation, and carrier submissions.
Assist with open enrollment meetings, renewal reviews, and plan comparison tools.
Maintain accurate group records, policy details, and service notes.
Track renewals, missing documents, billing issues, and enrollment updates.
Carrier & Vendor Coordination:
Communicate with carriers regarding applications, eligibility, billing discrepancies, and service issues.
Facilitate resolution of escalated member and employer concerns.
Ensure compliance with carrier guidelines and timelines.
Administrative & Operational Tasks:
Prepare service emails, renewal notices, spreadsheets, and standardized documents for agencies and employers.
Maintain CRM activity logs, follow-up tasks, and documentation.
Assist the Group Sales Director in tracking KPI metrics and service SLAs
Requirements:
Must know all carriers. Traditional group insurance
Must have knowledge of working with a census
Customer service experience
215 License required
Reliable transportation
Qualifications:
Salesforce knowledge helpful
Ichra knowledge helpful
Business development experience
5-10 years of experience in health insurance, group benefits, or employee benefits
administration (preferred).
Knowledge of medical, dental, vision, GAP, and ancillary products.
Strong communication skills-professional, clear, and customer focused.
Ability to manage multiple priorities with attention to detail and deadlines.
Proficient in Microsoft Office (Excel, Word, PowerPoint); CRM experience is a plus.
Bilingual (English/Spanish)
Salary range: $55-$75k + Commission
Schedule: 9-5 with occasional weekend events. Hybrid/remote possible after 90 days.
January start date
Patient Financial Services Representative-Thoracic Surgery-FT-Days-MPG
Hollywood, FL jobs
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
Summary
The Patient Financial Services Representative (PFSR) serves as the first point of contact in greeting patients and guarantors in the hospital, ambulatory or medical office setting. The PFSR engages with the patient or guarantor to obtain pertinent information and answer any questions in an effort to ensure that all required demographic, financial, and insurance eligibility information is gathered and verified. Ensures all required notices and consent forms are signed accordingly.
Responsibilities
Provides exceptional customer service and ensures all questions and concerns are addressed in a timely and courteous manner. May guide the patient to appropriate destination for services.Obtains pre-certification and authorization.Verifies insurance benefits including obtaining insurance card(s) and confirms coverage is active. Determines correct insurance filing order, if multiple insurance coverages are effective for that service.Explains polices including all regulatory and financial consent forms; secures all required signatures.May perform patient discharge functions including, but not limited to, review of after visit summary (AVS), future appointment scheduling, and referrals.Interviews patients and guarantors at the workstation or bedside to obtain all necessary information, including a copy of the patient or guarantor identification card.May confirm physician and prescription orders ensuring accuracy.May schedule walk-in appointments for services offered.Collects patient out-of-pocket responsibility per collection guidelines. Provides patient estimates as requested. Prepares and balances a daily deposit of all payment collections.
Competencies
ACCOUNTABILITY, ACCURACY & QUALITY, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, ORGANIZATION SKILLS, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, PRODUCTIVITY, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK
Education And Certification Requirements
High School Diploma or Equivalent (Required)
Additional Job Information
Complexity of Work: Requires excellent communication skills, critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Ability to work and build relationships collaboratively. Required Work Experience: No experience required. One (1) year of related hospital, medical office, or customer service experience preferred. Other Information: In Memorial Physician Group (specialty practices), additional responsibilities include: (1) obtain specialty authorizations (2) authorization denial and peer to peer process (3) patient care navigation ex: surgical and procedural coordination and scheduling for patient specific populations (4) handle all incoming calls and physician and hospital back line (5) obtain and confirm referrals In the Hospital, additional responsibilities include: (1) Upon validation of patient identity, place identification band on patient (2) obtain signatures for hospital specific regulatory forms not required in an ambulatory or office setting (3) obtain authorizations for walk-in appointments (4) determine when financial assistance is needed.In Memorial Primary Care, additional responsibilities include: (1) MIH-MPC program patient referral, payment collection and eligibility scheduling (2) process referral work-ques and same day access requests (3) work with Patient Access Center on real time patient requests (4) address prescription refill requests, patient advice requests through MyChart, and provider scheduling template.
Working Conditions And Physical Requirements
Bending and Stooping = 60%
Climbing = 0%
Keyboard Entry = 100%
Kneeling = 0%
Lifting/Carrying Patients 35 Pounds or Greater = 60%
Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40%
Lifting or Carrying > 75 lbs Non-Patient = 0%
Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
Pushing or Pulling 26 - 75 lbs Non-Patient = 80%
Pushing or Pulling > 75 lbs Non-Patient = 0%
Reaching = 80%
Repetitive Movement Foot/Leg = 0%
Repetitive Movement Hand/Arm = 80%
Running = 0%
Sitting = 80%
Squatting = 80%
Standing = 80%
Walking = 80%
Audible Speech = 80%
Hearing Acuity = 80%
Smelling Acuity = 0%
Taste Discrimination = 0%
Depth Perception = 80%
Distinguish Color = 0%
Seeing - Far = 80%
Seeing - Near = 80%
Bio hazardous Waste = 60%
Biological Hazards - Respiratory = 60%
Biological Hazards - Skin or Ingestion = 60%
Blood and/or Bodily Fluids = 60%
Communicable Diseases and/or Pathogens = 60%
Asbestos = 0%
Cytotoxic Chemicals = 0%
Dust = 0%
Gas/Vapors/Fumes = 60%
Hazardous Chemicals = 60%
Hazardous Medication = 60%
Latex = 60%
Computer Monitor = 100%
Domestic Animals = 0%
Extreme Heat/Cold = 0%
Fire Risk = 0%
Hazardous Noise = 0%
Heating Devices = 0%
Hypoxia = 0%
Laser/High Intensity Lights = 0%
Magnetic Fields = 0%
Moving Mechanical Parts = 0%
Needles/Sharp Objects = 60%
Potential Electric Shock = 0%
Potential for Physical Assault = 40%
Radiation = 0%
Sudden Decompression During Flights = 0%
Unprotected Heights = 0%
Wet or Slippery Surfaces = 40%
Shift
Primarily for office workers - not eligible for shift differential
Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.
Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.
Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.
Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.
We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.
Employment is subject to post offer, pre-placement assessment, including drug testing.
If you need reasonable accommodation during the application process, please call ************ (M-F, 8am-5pm) or email *******************************
Member Enrollment Representative
Circleville, OH jobs
At Christian Healthcare Ministries (CHM), we exist to glorify God, show Christian love, and serve members of the Body of Christ by sharing each other's medical bills.
The Member Enrollment Representative (MER) plays a vital role in this mission by increasing membership through various communication channels while delivering exceptional member experience. The MER is responsible for converting sales leads into new memberships, guiding prospective members through the enrollment process, and ensuring that every interaction reflects CHM's core values and commitment to service excellence.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Meet sales targets, goals, and performance expectations.
Engage in inbound and outbound phone sales (no cold calling) to assist and guide prospective members through the enrollment process.
Establish referrals, build relationships, and develop contacts with potential prospects.
Respond promptly and professionally to prospective member calls and inquiries.
Ensure delivery of high-quality, Christ-centered service.
Address member questions, concerns, and provide thoughtful recommendations.
Assist in retaining memberships when appropriate.
Respond to emails, calls, and voicemail promptly.
Clearly explain CHM guidelines, programs, and options to members.
Offer suggestions for improvement to the Member Enrollment Supervisor and Team Leader.
Maintain professionalism, empathy, and a positive attitude.
Demonstrate strong communication skills in both phone and written correspondence.
Uphold CHM's Core Values and Mission Statement in all interactions.
Collaborate with other departments, including Member Services, Marketing, and Communications, to ensure seamless member experience.
Gain a deep understanding of the Member Enrollment Team's structure and objectives.
Input, track, and manage prospects using HubSpot and internal CHM systems.
Develop ongoing relationships with prospects through consistent and intentional follow-up.
OTHER FUNCTIONS
Demonstrate Christian values and adhere to ethical and legal business practices.
Support CHM initiatives and departmental goals as assigned.
EDUCATION, EXPERIENCE & SKILLS REQUIRED
Prior experience in online or phone-based sales (preferred).
College education or equivalent work experience (preferred).
Strong verbal and written communication skills, including professional phone and email etiquette.
Proficiency in CHM guidelines, programs, and policies (training provided).
Competence with Microsoft Office Suite and CRM tools such as HubSpot.
Excellent organizational and time management skills with the ability to handle multiple priorities.
Self-motivated, collaborative, and committed to teamwork.
Strong problem-solving and conflict resolution skills.
Willingness to ask questions, seek guidance, and support team initiatives.
TRAINING & DEVELOPMENT
New representatives will complete a structured training program designed to build a strong understanding of CHM's membership process, communication tools, and ministry values. Ongoing professional development and mentorship opportunities are also provided.
WORKING CONDITIONS
Must adhere to organizational policies and procedures as outlined in the employee handbook.
Occasional travel may be required for ministry or business purposes.
Flexibility to work hours between 8:00 a.m. and 6:00 p.m., based on department needs.
Requires extended periods of sitting, working on a computer, and communicating by phone or email.
Strong reasoning and problem-solving abilities to overcome objections and assist prospective members effectively.
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Client Engagement Specialist - Woodward
Albuquerque, NM jobs
Schedule: Monday - Friday 0930-1800 with weekends, holidays, on-call, and other shifts as needed
Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest.
ESSENTIAL FUNCTIONS:
1. After training period, show proficiency and have documented competency with various applications, websites and functions.
2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module.
3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc.
4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators.
5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore.
6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year.
7. Perform other assigned duties to meet the customer s requirements with direction of leadership.
The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.
General Requirements:
Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service.
Be able to articulate with customers and have persuasion, negotiating and retention skills.
Ability to be empathetic and exercise key listening skills.
Work effectively in a team environment, contributing to the success of the call center and organization.
Achieves personal metrics and goals set forth by the organization.
Work on a schedule that is set in advance for all functions, lunches and breaks.
Attends training as required and is expected to be punctual.
Accurate and fast typing required.
Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required.
Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications.
Will be learning laboratory terminology in Clinical and Anatomic Pathology.
If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application
Minimum Qualifications:
MINIMUM EDUCATION:
High school diploma or equivalent.
OTHER REQUIREMENTS:
A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes).
PREFERENCES:
Associate s degree in related field preferred.
Completion of appropriate medical certificate training program.
Knowledge of laboratory tests/medical terminology
Proficient computer skills and ability to use multiple applications simultaneously.
Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below:
CLIENT ENGAGEMENT SPECIALIST I
Meet one of the following:
Six (6) months experience in a clinical laboratory or medical setting.
Six (6) months customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST II
Meet one of the following:
One (1) year relevant experience at TriCore.
Two (2) years relevant experience in a clinical laboratory or medical setting.
Three (3) years customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST III
Meet one of the following:
Two (2) years relevant experience at TriCore
Three (3) years relevant experience in a clinical laboratory or medical setting
Four (4) years customer service experience or equivalent combination of education and experience
TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
Client Engagement Specialist - Woodward
Albuquerque, NM jobs
Schedule: Monday - Friday 0830-1700 with weekends, holidays, on-call, and other shifts as needed.
Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest.
ESSENTIAL FUNCTIONS:
1. After training period, show proficiency and have documented competency with various applications, websites and functions.
2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module.
3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc.
4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators.
5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore.
6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year.
7. Perform other assigned duties to meet the customer s requirements with direction of leadership.
The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.
General Requirements:
Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service.
Be able to articulate with customers and have persuasion, negotiating and retention skills.
Ability to be empathetic and exercise key listening skills.
Work effectively in a team environment, contributing to the success of the call center and organization.
Achieves personal metrics and goals set forth by the organization.
Work on a schedule that is set in advance for all functions, lunches and breaks.
Attends training as required and is expected to be punctual.
Accurate and fast typing required.
Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required.
Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications.
Will be learning laboratory terminology in Clinical and Anatomic Pathology.
If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application
Minimum Qualifications:
MINIMUM EDUCATION:
High school diploma or equivalent.
OTHER REQUIREMENTS:
A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes).
PREFERENCES:
Associate s degree in related field preferred.
Completion of appropriate medical certificate training program.
Knowledge of laboratory tests/medical terminology
Proficient computer skills and ability to use multiple applications simultaneously.
Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below:
CLIENT ENGAGEMENT SPECIALIST I
Meet one of the following:
Six (6) months experience in a clinical laboratory or medical setting.
Six (6) months customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST II
Meet one of the following:
One (1) year relevant experience at TriCore.
Two (2) years relevant experience in a clinical laboratory or medical setting.
Three (3) years customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST III
Meet one of the following:
Two (2) years relevant experience at TriCore
Three (3) years relevant experience in a clinical laboratory or medical setting
Four (4) years customer service experience or equivalent combination of education and experience
TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
Client Engagement Specialist - Woodward
Albuquerque, NM jobs
Schedule: Monday-Friday 8:30am-5pm and other shifts as needed
Onsite training required, but once training is complete, position can work remotely. As a Client Engagement Specialist, you will provide excellent customer service on all transactions and are responsible for communicating with customers including patients, physicians, providers, and internal customers, and provide accurate and timely resolution to all inquiries and issues. Ensure callers receive exceptional customer service when responding to telephone, e-mail or written inquiries. Perform all duties under general supervision. Call volume often requires performing department functions at an increased pace while maintaining quality. The CES must be service-oriented individuals, able to communicate effectively and display a professional and positive demeanor. The CES needs to relate well to the customer, think and exercise sound judgment, and act responsibly in the customer s and the company s interest.
ESSENTIAL FUNCTIONS:
1. After training period, show proficiency and have documented competency with various applications, websites and functions.
2. Provide first-level support on incoming calls from internal and external customers using appropriate iCARE guidelines and skills taught in identified Customer Service training module.
3. Work Directly with Client Engagement Leadership as needed for escalated calls regarding complaints, complex issues beyond agent s scope, etc.
4. Awareness of and participation in all Department metrics and goals designed to maximize quality and efficiencies to meet department goals and department Quality Indicators.
5. Read and understand all Department Policies and Procedures related to Client Engagement and to TriCore.
6. For promotion, eligibility must meet all current Department Metrics and accuracy standards for 10 of 12 months in a rolling calendar year.
7. Perform other assigned duties to meet the customer s requirements with direction of leadership.
The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.
General Requirements:
Experience in multi-tasking, strong attention to detail, dealing with sensitive information, and problem resolution while providing exceptional service.
Be able to articulate with customers and have persuasion, negotiating and retention skills.
Ability to be empathetic and exercise key listening skills.
Work effectively in a team environment, contributing to the success of the call center and organization.
Achieves personal metrics and goals set forth by the organization.
Work on a schedule that is set in advance for all functions, lunches and breaks.
Attends training as required and is expected to be punctual.
Accurate and fast typing required.
Flexibility is required and must be able to work a holiday rotation schedule, on call schedule and overtime when required.
Be comfortable on a computer with dual screens and a headset and know your way around the Internet and basic computer applications.
Will be learning laboratory terminology in Clinical and Anatomic Pathology.
If you are presented a phone call and you get excited about the opportunity to wow customers, then we look forward to reviewing your application
Minimum Qualifications:
MINIMUM EDUCATION:
High school diploma or equivalent.
OTHER REQUIREMENTS:
A grade of average on the alphanumeric typing test (4,000 5,999 keystrokes).
PREFERENCES:
Associate s degree in related field preferred.
Completion of appropriate medical certificate training program.
Knowledge of laboratory tests/medical terminology
Proficient computer skills and ability to use multiple applications simultaneously.
Selected CES candidates will be placed as a CES I, II, or III based on experience as detailed below:
CLIENT ENGAGEMENT SPECIALIST I
Meet one of the following:
Six (6) months experience in a clinical laboratory or medical setting.
Six (6) months customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST II
Meet one of the following:
One (1) year relevant experience at TriCore.
Two (2) years relevant experience in a clinical laboratory or medical setting.
Three (3) years customer service experience.
Post high school education and/or experience may be substituted one for the other.
CLIENT ENGAGEMENT SPECIALIST III
Meet one of the following:
Two (2) years relevant experience at TriCore
Three (3) years relevant experience in a clinical laboratory or medical setting
Four (4) years customer service experience or equivalent combination of education and experience
TriCore is New Mexico s largest laboratory, employing more than 1,400 individuals who serve in a broad range of positions. We are dedicated to improving the quality of care for our communities, and also our employees. We foster a culture of integrity, are dedicated to excellence, and are looking for passionate individuals with a desire to have an impact in patient care, the core of our strategy. We offer excellent benefits including, medical, dental, vision and life insurances, 401(k) retirement plan with employer matching, PTO, and paid holidays, as well as opportunities for continuous learning, education assistance, wellness programs, career advancement, and the ability to share in our genuine commitment to the health of our communities. We offer a variety of shifts at multiple locations.
988 Crisis Call Specialist
Missoula, MT jobs
Looking for a career that makes a difference in the lives of others, offering hope, meaningful life choices, and better outcomes?
Who we are
Since 1971 Western Montana Mental Health Center (WMMHC) has been the center of community partnership in the 15 counties we serve across western Montana. We have committed to providing whole-person, person-centered care by ensuring an approach to health care that emphasizes recovery, wellness, trauma-informed care, and physical-behavioral health integration. We know the work we do is important and makes a significant impact in the lives of our clients and in our communities.
Working at WMMHC also gives you the opportunity to work under the Big Sky, giving you the adventure of a life time while serving your community and changing lives. We offer a work life balance so you still have time to discover all the natural beauty and recreational dreams that Montana has to offer while still engaging in a career path that is challenging and fulfilling.
If you want to join our team where community is at the heart of what we do, then you've come to the right place!
Job Summary:
Do you like to talk on the phone? Are you the person your family and friends turn to when they need support? Can you remain calm in stressful situations and empathize without judgement? If you can answer yes to these questions, the National Suicide Prevention Lifeline team needs your help!
With training in the following tasks, you will be able to serve your community members.
Triage incoming Lifeline calls and obtain caller information.
Conduct assessments and dispatch appropriate interventions when needed.
Deescalate callers in crisis over the phone.
Develop appropriate and realistic safety plans and complete appropriate follow up tasks.
Knowledge and familiarity with community resources
Complete documentation in an accurate and thorough manner.
Location: Remote* only after training and available to come into office when needed.
We are seeking a candidate who is able and willing to work varied shifts including evenings, weekends, holidays, and overnights. Overnights shifts offer a pay differential. *Remote work is available after completion of training.
Qualifications
High School diploma or equivalent
Ability to pass background check
Provide proof of auto liability insurance coverage per Western's policies
Montana Driver's License with a good driving record
1-year related work experience in human services, preferred
Benefits:
We know that whole-person care is not just important for our clients, but recognize it's just as important for our employees. WMMHC has worked hard to provide a benefits package that encompasses that same concept. Our comprehensive benefits package focuses on the health, security, and growth of our employees. Benefit offerings will vary based upon full time, part time, or variable status.
Health Insurance - 3 options to choose from starting as low as $5 per pay period
Employer paid benefits: Employee Assistance Program, Life insurance for employees and dependents, and long term disability
Voluntary options available: dental & vision insurance, short term disability, additional life insurance and dependent care flexible spending account
Health savings account (HAS) with match or medical flexible spending account (FSA)
403(B) Retirement enrollment offered right away with an employer match offered after one year
Generous paid time off to take care of yourself and do the things you love
Accrued PTO starts immediately
Extended sick leave
9 paid holidays and 8 floating holidays
Loan forgiveness programs through PSLF or NHSC
Auto-ApplySpecial Ops Client Specialist
Oklahoma City, OK jobs
Collect information and medical documentation to setup new customers of 180 Medical. To provide service support, through inbound and outbound calls, for the Account Management teams for new and existing customers of 180 Medical receiving specialized supplies. Coordinate with manufacturer(s) service information to provide select items as requested by facility and/or customer.
Key Responsibilities:
Contact customers to set up medical supply orders and follow-up as necessary to maintain seamless service of supplies and world-class service
Perform follow up phone calls to customers after an initial shipment is delivered
Handle inbound and outbound phone calls from customers regarding orders & service issues
Make appropriately detailed notations in Medtrack2, a proprietary database system, as well as provide necessary communication to Teams and Sales regarding customer account status
Place orders, make changes or adjustments to upcoming orders in Medtrack2 as needed to support customer supply needs
Request and follow-up on necessary documentation from Teams or Facilities as required by a customer's insurance through scanning, faxing or utilization of other electronic communication methods
Verify customer accounts are complete and all necessary documentation is in place to ensure a 180 Medical adheres to all compliance guidelines
Monitor and respond promptly to email communication with customers, sales reps, and others within the company
Support Team Supervisor on special projects
All other duties as assigned
Qualifications/Education:
Must have a high school diploma; college degree preferred, not required.
Six months to one-year related customer service experience and/or training; or equivalent combination of education and experience.
Typing: 35-40 wpm with 40 (adjusted) highly recommended
Effective written and verbal communication skills with attention to detail
Ability to reason, problem solve and think outside the box
Clear reasoning on prioritizing multiple tasks and satisfactory organizational skills
Flexible and adaptable to change in environment and industry
Work with integrity, upholding organizational values and Code of Ethics
Meet productivity standards and complete work in a timely manner
Sales experience preferred
Proficient in Microsoft Office programs
Collaborate well with others while being relied upon to work independently with applicable direction
Physical Demands
Regularly required to sit, stand, walk, and occasionally bend and move about the facility when in-office.
Infrequent light physical effort required.
Occasional lifting up to 10 lbs.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
Working Conditions
Work performed in an office environment,
Special Factors
This role can be performed remotely.
Beware of scams online or from individuals claiming to represent Convatec
A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************.
Equal opportunities
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives
Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
Already a Convatec employee?
If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
Auto-ApplyDurable Medical Equipment Customer Service
Miami, FL jobs
Be the Difference in Patient Care!
As a Patient Care Specialist, you'll play a vital role in ensuring patients receive the medical equipment they need with precision and compassion. You'll handle everything from verifying patient and order details to confirming coverage and authorizations, all while navigating our electronic system.
Ostomy Client Specialist
Spring, TX jobs
Pioneering trusted medical solutions to improve the lives we touch: Convatec is a global medical products and technologies company, focused on solutions for the management of chronic conditions, with leading positions in Advanced Wound Care, Ostomy Care, Continence Care, and Infusion Care. With more than 10,000 colleagues, we provide our products and services in around 90 countries, united by a promise to be forever caring. Our solutions provide a range of benefits, from infection prevention and protection of at-risk skin, to improved patient outcomes and reduced care costs. Convatec's revenues in 2024 were over $2 billion. The company is a constituent of the FTSE 100 Index (LSE:CTEC). To learn more please visit ****************************
Position Overview:
To provide client service support to the Account Management teams. Collect medical documentation and information to setup new clients of 180 Medical.
Key Responsibilities:
* Contact clients to set up medical supply orders
* Handle incoming phone calls from clients regarding orders & customer service issues
* Request Medicare documentation on Medicare clients
* Contacts HH agencies to coordinate sending supplies
* Make entries as appropriate in Medtrack an internal Microsoft Access database
* Place orders in Medtrack
* Change orders in Medtrack
* Support Team Supervisor on miscellaneous projects
* Obtain verbal authorization for supplies from facilities
* Suspense auditor to obtain Plan of Cares and chart notes when needed
* Verifying insurance for existing customer insurance changes
* Performs follow up phone calls to clients after initial shipment
* Verifies that client files are complete and all necessary documentation is in place
* All other duties as assigned.
Qualifications/Education:
* Must have a high school diploma, college degree preferred, not required.
* Six months to one year related experience and/or training; or equivalent combination of education and experience.
* Typing: 35-40 wpm with 40 (adjusted) highly recommended
* Possess medical administrative skills
* Good communication skills with professionals in clinics and hospitals
* Sales experience preferred
* Ability to reason, problem solve, and think outside the box
* Multi-task a variety of issues
* Good organization skills and can prioritize tasks
* Proficient in Microsoft Office programs
* Good attention to detail
* Reliable/dependable
* Flexible and adaptable to changes in environment and industry
* Team Player; work well with others
Dimensions:
Physical Demands
* Regularly required to sit, stand, walk, and occasionally bend and move about the facility.
* Infrequent light physical effort required.
* Occasional lifting up to 10 lbs.
* Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working Conditions
* Work performed in an office environment,
Special Factors
* This role can be performed remotely.
Beware of scams online or from individuals claiming to represent Convatec
A formal recruitment process is required for all our opportunities prior to any offer of employment. This will include an interview confirmed by an official Convatec email address.
If you receive a suspicious approach over social media, text message, email or phone call about recruitment at Convatec, do not disclose any personal information or pay any fees whatsoever. If you're unsure, please contact us at ********************.
Equal opportunities
Convatec provides equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, gender identity, military or veteran status, genetic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives
Convatec is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Convatec employee by a third party agency and/or search firm without a valid written and signed search agreement, will become the sole property of Convatec. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral. Thank you.
Already a Convatec employee?
If you are an active employee at Convatec, please do not apply here. Go to the Career Worklet on your Workday home page and View "Convatec Internal Career Site - Find Jobs". Thank you!
Easy ApplyRegional Call Center Operator - PRN/10am-10pm
Kalamazoo, MI jobs
CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community.
If you're ready for a rewarding new career, join Team Bronson and be part of the experience.
Location
BMH Bronson Methodist Hospital
Title
Regional Call Center Operator - PRN/10am-10pm
The Regional Call Center Operator is responsible for day-to-day operations of Bronson Communication Services, which receives an average of 39,000 calls per month. These responsibilities encompass processing incoming calls for Bronson Methodist Hospital, Bronson Battle Creek Hospital and other Bronson entities, paging in-hospital personnel, physicians and orders for Kalamazoo and Battle Creek, executing code procedures for Kalamazoo and Battle Creek, processing changes to Smart Web on-call calendars for the Bronson system, and processing after hours calls for all Bronson practices system wide. Employees providing direct patient care must demonstrate competencies specific to the population served.
High school diploma or general education degree (GED) required.
1-2 years related experience and/or training preferred.
Previous computer/ call center experience preferred.
* Previous working knowledge of basic medical terminology
* Excellent communication skills in a high volume department, working with both the public and health care professionals.
* Ability to prioritize and work efficiently in emergency or complicated situations where speed and accuracy matter and must have the ability to assure confidentiality of sensitive information.
* Must have the ability to provide positive customer service, communicate in English and use good grammar.
* Must be able to organize and prioritize workflow. Work which produces very high levels of mental/visual fatigue, e.g. CRT work between 70 and 90 percent of the time, and work involving extremely close tolerances and considerable hand/eye coordination for sustained periods of time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.
* Handles all incoming calls for Kalamazoo, Battle Creek and other Bronson entities, provides general information and transfers to the appropriate person or department.
* Responds to hospital, county, state, and area wide communications through phone, text paging, overhead paging, and computer systems.
* Pages all service areas when necessary.
* Makes changes to computerized on-call schedules for physicians and departments system wide.
* Responsible for emergency, fire, weather, and disaster plan activation for Kalamazoo and Battle Creek.
* Monitors fire alarm and medical gas system for Kalamazoo.
* Responds to all emergency situations; Code Blue, Yellow, Pink, Orange, Red, Black and Grey, trauma alerts, AMI and Stroke call downs, paging system failures, etc. for Kalamazoo and Battle Creek
* Receives and logs answering service phone calls while ensuring doctors were properly paged for the Bronson system.
Shift
Variable
Time Type
Part time
Scheduled Weekly Hours
10
Cost Center
1690 Bronson Communication Services (BHG)
Agency Use Policy and Agency Submittal Disclaimer
Bronson Healthcare Group and its affiliates ("Bronson") strictly prohibit the acceptance of unsolicited resumes from individual recruiters or third-party recruiting agencies ("Recruiters") in response to job postings or word of mouth. Unsolicited resumes sent to any employee of Bronson by Recruiters, without both a valid written agreement with Bronson and a direct written request from the Bronson Talent Acquisition Department for a specific job position, will be considered the property of Bronson. Furthermore, no fees will be owed or paid to Recruiters who submit resumes for unsolicited candidates, even if those candidates are hired. This policy applies regardless of whether the Recruiter has a pre-existing agreement with Bronson. Only candidates submitted through a specific written agreement with the Bronson Talent Acquisition Department for a named position are eligible for fee consideration.
Please take a moment to watch a brief video highlighting employment with Bronson!
Auto-ApplyCulinary Remote Call Center PRN
Columbus, OH jobs
Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.
**Work Schedule**
+ **PRN, on call or as needed**
+ **Remote Position, must be a Utah Resident**
+ **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening
+ **Hours of Operation:** Sunday-Saturday 0630 - 1930
+ **Required:** Rotating holidays and weekends
+ **Benefits Eligible: No**
**Essential Functions**
+ Takes patient meal selections and modifies them using system standards to meet provider orders.
+ Checks trays for accuracy during meal assembly.
+ Communicates clearly to both clinical and culinary caregivers.
+ Collects and inputs nutrition screening information
+ May complete calorie count and nutrition analysis as dictated by facility
+ Utilizes a computer to run reports and take orders.
+ Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels)
+ Performs accurate credit transactions according to system standards and independently resolves basic customer service issues.
**Skills**
+ Nutrition
+ Diet Management
+ Computer Literacy
+ Interpersonal Communication
+ Active Listening
+ Coordinating tasks with others
+ Patient Interactions
+ Attention to detail
**Qualifications**
+ Virtual Screening through Microsoft Teams before application submitted to Hiring Manager
+ **Residential Home address and work from home address must be within the state of Utah**
+ **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services)
+ Experience in Food Service, Nutrition Services, or healthcare call center (preferred)
+ Demonstrated ability to work with modified diets (preferred)
+ Demonstrated ability to provide exceptional customer service (preferred)
**Physical Requirements:**
+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Remain standing for long periods of time to perform work.
+ Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals.
**Location:**
Vine Street Office Building
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.22 - $23.68
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Call Center Operator - part-time, first shift, 23hrs/week,12:30pm-5:30pm
Milwaukee, WI jobs
At Children's Wisconsin, we believe kids deserve the best.
Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.
We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
Please follow this link for a closer look at what it's like to work at Children's Wisconsin:
***********************************
Position Summary-
Operates various systems to support and coordinate call handling and placement, paging, alarm and emergency condition responses.
Position Requirements-
Basic writing, reading and arithmetic skills usually acquired through completion of high school or equivalent.
A minimum of one year related experience to efficiently manage the mechanics of the console, paging and phone systems and procedures pertaining to emergency and safety, on-call personnel, hospital department and services.
Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
Certifications/Licenses:
Auto-ApplyCall Center Clinical Specialist Contingent
Detroit, MI jobs
Job Description
Under the general supervision of the Call Center Administrator, the Call Center Clinical Specialists are responsible for completing telephonic clinical screenings and assessments to determine eligibility into the public mental health system so that consumers will receive the appropriate level of care.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Determines appropriate levels of care for referral, assisting clients in selecting appropriate service providers.
Initiates referrals to selected providers.
Provides re-authorization of SUD/Mental Health/co-occurring services.
Assists providers with additional client information to provide appropriate referral for treatment services.
Evaluates clinical appropriateness for consumers.
Establishes funding eligibility.
Applies priority status criteria for placement.
Conducts follow-up with clients who were admitted for treatment to assist them with a continuum of care.
Monitors client's compliance with services and assists with aftercare/recovery plan services.
Reviews requests for authorizing/reauthorizing medically appropriate services and length of stay.
Manages client care through the MH-WIN system.
Provides community callers with information related to community resources and assists callers with information on how to access community services.
Utilizes computer to perform clinical and administrative job functions.
Ensures that consumers are authorized for interventions that meet medical necessity and are least restrictive.
Works collaboratively with providers, health home teams, and community agencies.
Proposes alternative and creative Care Plans when progress is stalled.
Participates actively in program enhancements and the QI program.
Conducts data gathering, documentation and analysis.
Applies Medical Necessity Criteria for Behavioral Health services and applicable standardized assessments, i.e., Level of Care Utilization of System (LOCUS), Supports Intensity Scale (SIS), American Society of Addiction Medicine Patient Placement Criteria (ASAM), Autism Diagnostic Observation Scale Second Edition (ADOS-2), Autism Diagnostic Interview - Revised (ADI-R), Developmental Disabilities - Clinical Global Impression Severity Scale (DD-CGAS), as well as other medical necessity tools and the Federal Confidentiality Regulations, 42 CFR, Part 2.
Conducts initial and ongoing review of enrollee's clinical condition both behavioral and physical.
Communicates with medical and behavioral providers regarding treatment planning.
Communicates with medical and behavioral providers regarding clinical and psychosocial needs.
Ensures that the reauthorizations database is continuously updated and reflects the current status of individuals in treatment.
Tracks and monitors cost factors relative to service utilization, treatment activities, and other access and placement criteria.
Enters data and reports into written formats and electronic databases.
Monitors provider services for adherence to priority Federal, State and Medicaid
admission requirements.
Identifies trends at the provider and network level and submit suggestions for clinical training and or technical support.
Reviews behavioral assessments, diagnostic reports and treatment plans to assess the appropriateness of the authorization request.
Performs related duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES (KSA's)
Knowledge of DWIHN policies, procedures and operations.
Knowledge of the DWIHN provider network.
Knowledge of medical and behavioral health practices and terminology.
Knowledge of MDHHS policies, rules, regulations and procedures.
Knowledge of Call Center Operations.
Knowledge of Customer Service practices and principals.
Knowledge of co-occurring and substance use treatment services.
Knowledge of the American Society of Addiction Medicine Patient Placement Criteria (ASAM) and the Federal Confidentiality Regulations, 42 CFR, Part 2.
Knowledge of SUD Policies and Procedures.
Knowledge of various treatment modalities including Opiate Maintenance Treatment (OMT) (and re-authorization of Medication Assisted Treatment (MAT) criteria), case management, chemically-dependent pregnant women, co-occurring individuals, SMI/SED and I/DD populations.
Knowledge of women specialty services requirements.
Knowledge of priority population admittance.
Knowledge of State Disability Assistance (SDA).
Knowledge of Intravenous Drug User (IDU) management.
Knowledge of and ability to use screening and assessment tools for behavioral health services.
Knowledge of and ability to use treatment planning, case management and continuing care for behavioral health services.
Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBA requirements and the Mental Health Code.
Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to a severely mentally ill (SMI) adult population.
Knowledge of the identification and treatment of co-occurring mental health and substance use disorders.
Knowledgeable of psychotropic medications.
Knowledge of Pre-Admission Review (PAR) Screening.
Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
Computer skills
Time management skills
Organizational skills
Critical thinking skills
Decision Making skills
Customer Service skills
Language skills
Listening skills
Relationship building skills
Teamwork skills
Training skills
Ability to communicate orally.
Ability to communicate in writing.
Ability to work effectively with others.
Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
Judgement/Reasoning ability.
REQUIRED EDUCATION:
A Master's Degree in Social Work, Psychology, Counseling, Nursing (a Bachelor's Degree will be accepted), the Human Services, the Social Services or a related field.
REQUIRED EXPERIENCE:
Three (3) years of professional clinical experience in behavioral healthcare or a community mental health setting.
REQUIRED LICENSE(S).
A Valid State of Michigan clinical licensure: RN, LMSW, LMHC, LPC, LLP or PhD.
A valid State of Michigan Driver's License with a safe and acceptable driving record.
Working Conditions
Contingent staff are allowed to work remotely with management approval.
This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed. Management retains the discretion to add or change the position at any time.
Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.
The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer
Call Center Clinical Specialist Contingent
Detroit, MI jobs
Under the general supervision of the Call Center Administrator, the Call Center Clinical Specialists are responsible for completing telephonic clinical screenings and assessments to determine eligibility into the public mental health system so that consumers will receive the appropriate level of care.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Determines appropriate levels of care for referral, assisting clients in selecting appropriate service providers.
Initiates referrals to selected providers.
Provides re-authorization of SUD/Mental Health/co-occurring services.
Assists providers with additional client information to provide appropriate referral for treatment services.
Evaluates clinical appropriateness for consumers.
Establishes funding eligibility.
Applies priority status criteria for placement.
Conducts follow-up with clients who were admitted for treatment to assist them with a continuum of care.
Monitors client's compliance with services and assists with aftercare/recovery plan services.
Reviews requests for authorizing/reauthorizing medically appropriate services and length of stay.
Manages client care through the MH-WIN system.
Provides community callers with information related to community resources and assists callers with information on how to access community services.
Utilizes computer to perform clinical and administrative job functions.
Ensures that consumers are authorized for interventions that meet medical necessity and are least restrictive.
Works collaboratively with providers, health home teams, and community agencies.
Proposes alternative and creative Care Plans when progress is stalled.
Participates actively in program enhancements and the QI program.
Conducts data gathering, documentation and analysis.
Applies Medical Necessity Criteria for Behavioral Health services and applicable standardized assessments, i.e., Level of Care Utilization of System (LOCUS), Supports Intensity Scale (SIS), American Society of Addiction Medicine Patient Placement Criteria (ASAM), Autism Diagnostic Observation Scale Second Edition (ADOS-2), Autism Diagnostic Interview - Revised (ADI-R), Developmental Disabilities - Clinical Global Impression Severity Scale (DD-CGAS), as well as other medical necessity tools and the Federal Confidentiality Regulations, 42 CFR, Part 2.
Conducts initial and ongoing review of enrollee's clinical condition both behavioral and physical.
Communicates with medical and behavioral providers regarding treatment planning.
Communicates with medical and behavioral providers regarding clinical and psychosocial needs.
Ensures that the reauthorizations database is continuously updated and reflects the current status of individuals in treatment.
Tracks and monitors cost factors relative to service utilization, treatment activities, and other access and placement criteria.
Enters data and reports into written formats and electronic databases.
Monitors provider services for adherence to priority Federal, State and Medicaid admission requirements.
Identifies trends at the provider and network level and submit suggestions for clinical training and or technical support.
Reviews behavioral assessments, diagnostic reports and treatment plans to assess the appropriateness of the authorization request.
Performs related duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES (KSA's)
Knowledge of DWIHN policies, procedures and operations.
Knowledge of the DWIHN provider network.
Knowledge of medical and behavioral health practices and terminology.
Knowledge of MDHHS policies, rules, regulations and procedures.
Knowledge of Call Center Operations.
Knowledge of Customer Service practices and principals.
Knowledge of co-occurring and substance use treatment services.
Knowledge of the American Society of Addiction Medicine Patient Placement Criteria (ASAM) and the Federal Confidentiality Regulations, 42 CFR, Part 2.
Knowledge of SUD Policies and Procedures.
Knowledge of various treatment modalities including Opiate Maintenance Treatment (OMT) (and re-authorization of Medication Assisted Treatment (MAT) criteria), case management, chemically-dependent pregnant women, co-occurring individuals, SMI/SED and I/DD populations.
Knowledge of women specialty services requirements.
Knowledge of priority population admittance.
Knowledge of State Disability Assistance (SDA).
Knowledge of Intravenous Drug User (IDU) management.
Knowledge of and ability to use screening and assessment tools for behavioral health services.
Knowledge of and ability to use treatment planning, case management and continuing care for behavioral health services.
Knowledge of documents / regulations that govern the provision of mental health services, e.g., Medicaid Manual Mental Health and Substance Abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services Quality Plan, BBA requirements and the Mental Health Code.
Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
Knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to a severely mentally ill (SMI) adult population.
Knowledge of the identification and treatment of co-occurring mental health and substance use disorders.
Knowledgeable of psychotropic medications.
Knowledge of Pre-Admission Review (PAR) Screening.
Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis.
Computer skills
Time management skills
Organizational skills
Critical thinking skills
Decision Making skills
Customer Service skills
Language skills
Listening skills
Relationship building skills
Teamwork skills
Training skills
Ability to communicate orally.
Ability to communicate in writing.
Ability to work effectively with others.
Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
Judgement/Reasoning ability.
REQUIRED EDUCATION:
A Master's Degree in Social Work, Psychology, Counseling, Nursing (a Bachelor's Degree will be accepted), the Human Services, the Social Services or a related field.
REQUIRED EXPERIENCE:
Three (3) years of professional clinical experience in behavioral healthcare or a community mental health setting.
REQUIRED LICENSE(S).
A Valid State of Michigan clinical licensure: RN, LMSW, LMHC, LPC, LLP or PhD.
A valid State of Michigan Driver's License with a safe and acceptable driving record.
Working Conditions
Contingent staff are allowed to work remotely with management approval.
This description is not intended to be a complete statement of job content, rather to act as a general description of the essential functions performed. Management retains the discretion to add or change the position at any time.
Please Note: DWIHN requires proof of being fully vaccinated for COVID-19 as a condition of employment. Medical or religious accommodations or other exemptions that may be required by law, will be approved when properly supported. Further information will be provided during the recruitment process.
The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer
Auto-ApplyCulinary Remote Call Center PRN
Des Moines, IA jobs
Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.
**Work Schedule**
+ **PRN, on call or as needed**
+ **Remote Position, must be a Utah Resident**
+ **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening
+ **Hours of Operation:** Sunday-Saturday 0630 - 1930
+ **Required:** Rotating holidays and weekends
+ **Benefits Eligible: No**
**Essential Functions**
+ Takes patient meal selections and modifies them using system standards to meet provider orders.
+ Checks trays for accuracy during meal assembly.
+ Communicates clearly to both clinical and culinary caregivers.
+ Collects and inputs nutrition screening information
+ May complete calorie count and nutrition analysis as dictated by facility
+ Utilizes a computer to run reports and take orders.
+ Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels)
+ Performs accurate credit transactions according to system standards and independently resolves basic customer service issues.
**Skills**
+ Nutrition
+ Diet Management
+ Computer Literacy
+ Interpersonal Communication
+ Active Listening
+ Coordinating tasks with others
+ Patient Interactions
+ Attention to detail
**Qualifications**
+ Virtual Screening through Microsoft Teams before application submitted to Hiring Manager
+ **Residential Home address and work from home address must be within the state of Utah**
+ **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services)
+ Experience in Food Service, Nutrition Services, or healthcare call center (preferred)
+ Demonstrated ability to work with modified diets (preferred)
+ Demonstrated ability to provide exceptional customer service (preferred)
**Physical Requirements:**
+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Remain standing for long periods of time to perform work.
+ Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals.
**Location:**
Vine Street Office Building
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.22 - $23.68
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Culinary Remote Call Center PRN
Lansing, MI jobs
Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.
**Work Schedule**
+ **PRN, on call or as needed**
+ **Remote Position, must be a Utah Resident**
+ **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening
+ **Hours of Operation:** Sunday-Saturday 0630 - 1930
+ **Required:** Rotating holidays and weekends
+ **Benefits Eligible: No**
**Essential Functions**
+ Takes patient meal selections and modifies them using system standards to meet provider orders.
+ Checks trays for accuracy during meal assembly.
+ Communicates clearly to both clinical and culinary caregivers.
+ Collects and inputs nutrition screening information
+ May complete calorie count and nutrition analysis as dictated by facility
+ Utilizes a computer to run reports and take orders.
+ Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels)
+ Performs accurate credit transactions according to system standards and independently resolves basic customer service issues.
**Skills**
+ Nutrition
+ Diet Management
+ Computer Literacy
+ Interpersonal Communication
+ Active Listening
+ Coordinating tasks with others
+ Patient Interactions
+ Attention to detail
**Qualifications**
+ Virtual Screening through Microsoft Teams before application submitted to Hiring Manager
+ **Residential Home address and work from home address must be within the state of Utah**
+ **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services)
+ Experience in Food Service, Nutrition Services, or healthcare call center (preferred)
+ Demonstrated ability to work with modified diets (preferred)
+ Demonstrated ability to provide exceptional customer service (preferred)
**Physical Requirements:**
+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Remain standing for long periods of time to perform work.
+ Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals.
**Location:**
Vine Street Office Building
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.22 - $23.68
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.
Culinary Remote Call Center PRN
Phoenix, AZ jobs
Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.
**Work Schedule**
+ **PRN, on call or as needed**
+ **Remote Position, must be a Utah Resident**
+ **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening
+ **Hours of Operation:** Sunday-Saturday 0630 - 1930
+ **Required:** Rotating holidays and weekends
+ **Benefits Eligible: No**
**Essential Functions**
+ Takes patient meal selections and modifies them using system standards to meet provider orders.
+ Checks trays for accuracy during meal assembly.
+ Communicates clearly to both clinical and culinary caregivers.
+ Collects and inputs nutrition screening information
+ May complete calorie count and nutrition analysis as dictated by facility
+ Utilizes a computer to run reports and take orders.
+ Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels)
+ Performs accurate credit transactions according to system standards and independently resolves basic customer service issues.
**Skills**
+ Nutrition
+ Diet Management
+ Computer Literacy
+ Interpersonal Communication
+ Active Listening
+ Coordinating tasks with others
+ Patient Interactions
+ Attention to detail
**Qualifications**
+ Virtual Screening through Microsoft Teams before application submitted to Hiring Manager
+ **Residential Home address and work from home address must be within the state of Utah**
+ **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services)
+ Experience in Food Service, Nutrition Services, or healthcare call center (preferred)
+ Demonstrated ability to work with modified diets (preferred)
+ Demonstrated ability to provide exceptional customer service (preferred)
**Physical Requirements:**
+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Remain standing for long periods of time to perform work.
+ Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals.
**Location:**
Vine Street Office Building
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.22 - $23.68
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.