Patient care advocate job description

PAY: $18/hour + $.56 per mile

START: 2 WEEKS FROM OFFER

Shift: M-F; 8:30am - 5:00pm

JOB OVERVIEW:

This person will be required to answer calls quickly and assist customers with their needs. These customers will be calling about insurance questions, what products they are eligible for, what costs will look like, etc... Someone with Medical / Insurance customer service experience would be a perfect fit.

Will coordinate the schedule for the clinical staff. Will verify insurance information and obtain the necessary authorizations and referral forms. Will process the orders in the computer system along with maintaining a current status on orders to be processed. File customer orders. Will discharge patients promptly and courteously and file medical records. Will prep all doc's for imaging as well.

APPLY TODAY!

About Aston Carter:

Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you.

At Aston Carter, we're dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions - from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless.

Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients' capabilities by seeking solvers and delivering solutions to address today's workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit . Aston Carter is a company within Allegis Group, a global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call or email for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.

4-Day Work Week, Bonus Opportunities, PTO, and MORE!

If you have some photography background skills and know all things social media…this is a great plus! If you love posting and making reels and such, let us know...we are looking for you. We are looking for someone who knows how to make Tik Tok videos, Instagram Reels…basically, all things trending on social media platforms!!! We love sharing what we do to help more people in our community and this is a great way to do it.

Compensation:

$14 - $19 hourly

Responsibilities:

ProHealth is a fast-growing, high-energy, positive-family-focused wellness practice! We’re looking for someone that is outgoing and has a passion for people + learning new things, is a great communicator and connector, and is a lover of all things natural health!

Our dream team members also:

• LOVE people of all ages – infants, toddlers, special needs kids, and adults
• Has fun being creative and enjoys capturing pics of precious babies and children
• Background in photography or loves all things...social media related
• Is extremely personable, professional, and self-motivated
• Has a growth mindset
• Is highly adaptable and able to accept new challenges
• Is willing to continuously learn, develop and grow as an individual and team member Is proficient in computer skills and willing to learn different computer programs
• Is ready to transform the employment relationship from a job to a career to a CALLING!
• Wants to be a part of an awesome, loving, and caring TEAM!

Qualifications:

We are looking to add a well-rounded, energetic, professional, outgoing, and reliable person with a willingness to learn at a fast pace to our wonderful team. If this is you, come aboard!

• Enjoys creating content and brainstorming marketing ideas
• Background in Photography or just is creative with pics and videos on social media
• Knows all things social media and excels
• Feels comfortable handling financials and money conversations
• Likes making spreadsheets and are extremely organized
• Confidently communicates with practice members in emails, text messages, phone calls, and in-person
• Loves to have FUN!
• Is looking to work hard 4 days a week-we do train on Fridays, however, are done by 12pm-go enjoy your family!
• Join a culture that encourages collaboration, critical thought, and innovation amongst your team members-we take care of one another

This is definitely not a desk job where you will be sitting all day, however, it does require someone who is efficient with computer work and is tech-savvy! If you looking for a mission-based purpose-filled place of work...APPLY!

Join a movement that inspires people to honor the wisdom of the body and a life free from interference!

We look forward to hearing from you!

About Company

ProHealth is on a mission to save kiddos from this sick care world that we live in. We strive to educate our community about the power that is already inside of the body to heal itself. We are training continuously as a team to do better to help wake people up to the Truth and help them live out a healthier lifestyle.

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Essential Functions: * Acts as a liaison and member advocate between the member/family, physician and facilities/agencies.

* Acts as the face of WellCare in the provider community with the provider and office staff where their services are embedded.

* Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements.

* Assesses provider performance data to identify and strategizes opportunities for provider improvement.

* Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters).

* Schedules doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider's office.

* Conducts face-to-face education with the member and their family, in the provider's office, about care gaps identified, and barriers to care.

* Conducts telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements.
* Arranges transportation for members as needed.

* Arranges follow-up appointments for member as needed.

* Documents all actions taken regarding contact related to member.

* Interacts with other departments including customer service to resolve member issues.

* Refers to case or disease management as appropriate.

* Completes special assignments and projects instrumental to the function of the department.

* Performs other duties as assigned.Additional Responsibilities: * Position may be located in a provider's office

Position Purpose: Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in resolving deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements. Provides education to members regarding the care gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the practitioner and assists member with wraparound services such as arranging transportation, connecting them with community-based resources and other affinity programs as available. Maintains confidentiality of business and protected health information. Essential,Candidate Education: Required A Bachelor's Degree in Healthcare, Public Health, Nursing, psychology, Social Work, Health Administration, or related health field or equivalent work experience (a total of 4 years of experience required for the position); Work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment.Candidate Experience: Required 2+ years of experience in Work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment,Licenses and Certifications:A license in one of the following is required: Preferred Licensed Practical Nurse (LPN)
Preferred Licensed Master Social Work (LMSW)
Preferred Certified Social Worker (C-SW)
Preferred Licensed Social Worker (LSW)
Preferred Licensed Registered Nurse (RN)

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

**TITLE:** Patient Care Advocate

**LOCATION:** Various, Massachusetts

**REQNUMBER:** 1361247