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Patient Access Representative jobs at Tenet Healthcare - 33 jobs

  • PS Customer Service Representative - Remote Bilingual Required

    Tenet Healthcare Corporation 4.5company rating

    Patient access representative job at Tenet Healthcare

    The purpose of the Customer Service Representative position is to support the Customer Service Call Center as it relates to physician billing for multiple clients. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Handle a large call volume while ensuring quality customer service and patient satisfaction * issues not resolved during conversation with patient/guarantor * Ability to complete other related customer service duties as assigned SUPERVISORY RESPONSIBILITIES If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position serves as the primary source of communication for patients' billing inquiries. This person must possess the skill to effectively assist patients with sensitive and confidential issues, while understanding our obligation to our clients to collect outstanding patient balances. They should be able to handle multiple tasks along with setting appropriate priorities with client information. * Answer patient calls within the guidelines of call center metric objectives * Ensure appropriate HIPAA compliance guidelines * Adhere to work schedule and follow call center phone procedures * Maintain professionalism and confidentiality Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * High School degree or equivalent required * At least 1 year experience in a medical customer service role preferred * Previous experience in a call center environment preferred * Proficiency in Microsoft Outlook, Excel and Word required * Previous experience with medical billing systems required; GE Centricity or EPIC experience a plus REQUIRED CERTIFICATIONS/LICENSURE Include minimum certification required to perform the job. N/A PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office Work Environment * Hospital Work Environment TRAVEL * No travel required Compensation and Benefit Information Compensation * Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $14.5-21.8 hourly 29d ago
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  • Referral and Registration Center Representative

    Universal Health Services 4.4company rating

    King of Prussia, PA jobs

    Responsibilities Independence Physician Management (IPM), is a subsidiary of Universal Health Services, Inc (UHS). IPM was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. The Referral and Registration Representative provides accurate and efficient Referral and Registration Services on behalf of its customers, UHS's Acute Care Hospitals and Physician Networks. Services provided include, but are not limited to, providing physician referral services, class and event registrations, service line referrals, providing general information, and facilitating appointments with physicians. Services provided support the financial health of its customers. Continuously practice the Standards of UHS Service Excellence program in all job-related functions. Hours: 11:30am -8:00pm, Monday-Friday Remote opportunity * Maintains accurate records within a shared database. * Processes inbound Physician Referral Calls. Assists callers by helping to match them with doctors and facilitates scheduling appointments. * Processes inbound calls for registration in hospital seminars, screenings and education classes. * Processes digital requests for physician referrals. * Contributes to team goals and achieves individual goals. * Collects and accurately documents caller demographics. * Interacts appropriately with physician's office staff. Qualifications High school diploma required with a minimum of 1-3 years experience required. Associates degree preferred. Job Requirements: * Customer service experience. * Medical terminology/health insurance navigation preferred. * Phone etiquette. * Strong communication skills verbal and written. * Medical terminology a plus. * Strong desire to work within a team structure. * Ability to return successful results when conducting internet searches. * Call/contact center experience a plus. * Bilingual a plus. * Scheduled hours are 11:30am to 8:00pm Monday - Friday. As an IPM employee you will be part of a first class organization offering: * A challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and much more! Independence Shared Services is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Shared Services. No fee will be paid in the event the candidate is hired as a result of the referral or through other means. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. *********** EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or *************** Pay Transparency To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. A posted salary range applies to the current job posting. Salary offers may be based on key factors such as education and related experience.
    $32k-40k yearly est. 60d+ ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare 4.4company rating

    Columbus, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Shift: 10-6:30 PM MST** **Essential Job Duties** - Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. - Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. - Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. - Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. - Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. - Utilizes appropriate resources to ensure member contact information is current and up-to-date. - Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. - Interacts with appropriate primary care providers to ensure member registry is current and accurate. - Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. - Proactively identifies ways to improve member relations. - Supports goal to achieve and maintain industry-leading Medicare STAR ratings. **Required Qualifications** - At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. - Excellent customer service skills. - Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. - Ability to multi-task applications while speaking with members. - Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. - Ability to meet established deadlines. - Ability to function independently and manage multiple projects. - Excellent verbal and written communication skills, including excellent phone etiquette. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Health care industry experience. - Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.7-28.8 hourly 21d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare Inc. 4.4company rating

    Columbus, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Shift: 10-6:30 PM MST Essential Job Duties * Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. * Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. * Utilizes appropriate resources to ensure member contact information is current and up-to-date. * Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. * Interacts with appropriate primary care providers to ensure member registry is current and accurate. * Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. * Proactively identifies ways to improve member relations. * Supports goal to achieve and maintain industry-leading Medicare STAR ratings. Required Qualifications * At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. * Excellent customer service skills. * Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. * Ability to multi-task applications while speaking with members. * Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. * Ability to meet established deadlines. * Ability to function independently and manage multiple projects. * Excellent verbal and written communication skills, including excellent phone etiquette. * Microsoft Office suite, and applicable software program(s) proficiency. Preferred Qualifications * Health care industry experience. * Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.7-28.8 hourly 17d ago
  • Insurance Verification Representative-Remote

    Community Health Systems 4.5company rating

    Remote

    The Insurance Verification Representative is responsible for verifying insurance benefits, eligibility, and authorization requirements to ensure accurate billing and reimbursement for procedures and services. This role interacts with physician offices, patients, and internal departments to coordinate insurance approvals, obtain necessary referrals and authorizations, and communicate patient financial responsibilities. The Insurance Verification Representative ensures compliance with payer guidelines and facilitates a smooth scheduling and billing process for patients. This is a REMOTE position Essential Functions Verifies insurance benefits, eligibility, and pre-determination requirements for all scheduled patients to ensure coverage and minimize claim denials. Confirms that the correct insurance package has been loaded into the patient's chart and updates records as needed. Reviews provider schedules in the electronic medical record system to obtain referrals for HMO patients and authorizations for procedures and radiology testing. Works with hospital radiology and scheduling teams to ensure all necessary authorizations are secured for upcoming procedures. Reviews the authorization/referral list in the patient financial system (e.g., Athena) and attaches required authorizations and referrals to pending appointments. Utilizes financial and scheduling systems to generate authorizations, verify patient coverage, and ensure all necessary approvals are documented. Tracks and monitors authorizations and referrals, ensuring compliance with benchmark data and payer requirements. Coordinates with physician offices to resolve issues related to pre-determinations and authorization delays. Contacts patients in advance of procedures to notify them of estimated financial responsibility and available payment options. Assists and provides backup support for other business office positions as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Healthcare Administration, Business, or a related field preferred 1-2 years of experience in insurance verification, patient access, medical billing, or healthcare financial services required Experience working with electronic medical records (EMR), patient scheduling systems, and insurance payer portals. preferred Knowledge, Skills and Abilities Strong understanding of insurance verification processes, medical benefit plans, and payer authorization requirements. Knowledge of healthcare reimbursement practices, including prior authorization and referral processes. Proficiency in electronic medical records (EMR), financial systems, and patient scheduling software. Excellent communication and customer service skills to interact professionally with patients, physician offices, and payers. Strong attention to detail to ensure accuracy in insurance verification and documentation. Ability to work independently and prioritize tasks in a fast-paced environment. Knowledge of HIPAA regulations and patient confidentiality requirements.
    $28k-32k yearly est. Auto-Apply 7d ago
  • PFS Customer Service Rep Call Center

    Banner Health 4.4company rating

    Remote

    Department Name: Patient Balance Mgmt Work Shift: Varied Job Category: Revenue Cycle Estimated Pay Range: $17.67 - $26.50 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certificationâ„¢. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. The PFS Customer Service Rep role coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. We work as a team to ensure reimbursement for services in a timely and accurate manner. This position is for our Call Center Team, answering high call-volume and high-level questions regarding patient billing questions. We are currently looking for experienced professionals with strong customer service skills to join our team. Location: Remote Schedule: Part time, 20hrs/wk. Mon-Fri 1:30pm-5:30pm AZ Time Ideal Candidates: Minimum of 1 year experience in Customer Service and/or Call Center, clearly reflected in resume; Minimum of 1 year Healthcare experience in Finance, Revenue Cycle, or Patient Financial Services This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR PA, SC, TN, TX, UT, VA, WA, WI, WV, WY Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. Responds to incoming calls to provide assistance and excellent customer service to patients, patient families, providers, and other internal and external customers to resolve billing, payment and accounting issues 2. Responsible to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing and PCI compliance. 3. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. As assigned, works with walk-in patient's with accounts and processing payments. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. NOTE: The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager. SUPERVISORY RESPONSIBILITIES DIRECTLY REPORTING None MATRIX OR INDIRECT REPORTING None TYPE OF SUPERVISORY RESPONSIBILITIES None Banner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner. PHYSICAL DEMANDS/ENVIRONMENT FACTORS OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager) Requires extensive sitting with periodic standing and walking. May be required to lift up to 20 pounds. Requires significant use of personal computer, phone and general office equipment. Needs adequate visual acuity, ability to grasp and handle objects. Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone. May require off-site travel. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge of insurance plans with deductibles and co-insurances. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Bi-lingual a plus. Additional related education and/or experience preferred. DATE APPROVED 03/30/2025 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $17.7-26.5 hourly Auto-Apply 2d ago
  • Hospital Call Center Scheduler- Remote

    Lifepoint Hospitals 4.1company rating

    Louisville, KY jobs

    Full Time position with a work schedule of Monday - Friday, 8:30am - 5pm Salary Range: $15-$19 At our Access Point Center, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve. The Hospital Call Center Scheduler will work with our Centralized Scheduling Department to support scheduling for primary care practices. The scheduler is responsible for answering inbound calls and schedule patients for appointments. Additional duties include: * Answer inbound patient scheduling calls based on department service level goals and address their concerns in a satisfactory manner. * Communicate with patients to schedule, re-schedule and/or cancel their primary care provider appointment requests accurately by following practice scheduling protocols and tools. * Accurately collects and performs data entry of all required patient demographic and insurance in-formation. * Uses professional communication etiquette and listening skills to assist patients with their scheduling needs. * Build a safe and trustworthy environment with patients by utilizing both scripted and non-scripted communication methods. * De-escalate situations involving dissatisfied customers, offering patient assistance and support. Escalate any problems that may arise to management. * Utilize and maneuver between several different software systems using dual monitors. * Maintain accurate and up to date information in the documentation system. * Maintain confidentiality of account information and provide exceptional customer service to all clients. * Assist with other projects as assigned by management. Qualifications and requirements The requirements listed below are representative of the knowledge, skills, and/or abilities required. * Education: High School Diploma/GED required. Associate degree or bachelor's degree preferred. * Experience: Two years of related experience in medical setting, or one year of previous healthcare call center or customer service experience, or 3 or more years of call center experience. Basic healthcare knowledge required. * Proficient user knowledge of Windows Office programs (Word, Excel, PowerPoint), and the ability to learn specialized computer applications. * Professional, articulate communication style. Ability to multi-task in several computer applications while holding a conversation with a client. * Excellent attention to detail and data entry accuracy required. Flexibility to quickly adapt to any new business environment. Must be able to work in a remote Team environment. * Must live in the United States. * Preferred Skills: ability to type a minimum of 25 WPM. * Technology requirements: Internet Download speed of 100mbps and Upload speed of 20mbps Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers: * Comprehensive medical, dental, and vision plans, plus flexible-spending and health- savings accounts * Income-protection programs, such as life, accident, critical-injury insurance, short- and long-term disability, and identity theft coverage * Tuition reimbursement, loan assistance, and 401(k) matching * Employee assistance program including mental, physical, and financial wellness * Professional development and growth opportunities Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
    $15-19 hourly 3d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare 4.4company rating

    Cleveland, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Shift: 10-6:30 PM MST** **Essential Job Duties** - Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. - Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. - Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. - Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. - Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. - Utilizes appropriate resources to ensure member contact information is current and up-to-date. - Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. - Interacts with appropriate primary care providers to ensure member registry is current and accurate. - Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. - Proactively identifies ways to improve member relations. - Supports goal to achieve and maintain industry-leading Medicare STAR ratings. **Required Qualifications** - At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. - Excellent customer service skills. - Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. - Ability to multi-task applications while speaking with members. - Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. - Ability to meet established deadlines. - Ability to function independently and manage multiple projects. - Excellent verbal and written communication skills, including excellent phone etiquette. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Health care industry experience. - Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.7-28.8 hourly 21d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare Inc. 4.4company rating

    Cleveland, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Shift: 10-6:30 PM MST Essential Job Duties * Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. * Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. * Utilizes appropriate resources to ensure member contact information is current and up-to-date. * Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. * Interacts with appropriate primary care providers to ensure member registry is current and accurate. * Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. * Proactively identifies ways to improve member relations. * Supports goal to achieve and maintain industry-leading Medicare STAR ratings. Required Qualifications * At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. * Excellent customer service skills. * Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. * Ability to multi-task applications while speaking with members. * Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. * Ability to meet established deadlines. * Ability to function independently and manage multiple projects. * Excellent verbal and written communication skills, including excellent phone etiquette. * Microsoft Office suite, and applicable software program(s) proficiency. Preferred Qualifications * Health care industry experience. * Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.7-28.8 hourly 17d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare 4.4company rating

    Akron, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Shift: 10-6:30 PM MST** **Essential Job Duties** - Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. - Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. - Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. - Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. - Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. - Utilizes appropriate resources to ensure member contact information is current and up-to-date. - Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. - Interacts with appropriate primary care providers to ensure member registry is current and accurate. - Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. - Proactively identifies ways to improve member relations. - Supports goal to achieve and maintain industry-leading Medicare STAR ratings. **Required Qualifications** - At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. - Excellent customer service skills. - Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. - Ability to multi-task applications while speaking with members. - Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. - Ability to meet established deadlines. - Ability to function independently and manage multiple projects. - Excellent verbal and written communication skills, including excellent phone etiquette. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Health care industry experience. - Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.7-28.8 hourly 21d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare 4.4company rating

    Cincinnati, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Shift: 10-6:30 PM MST** **Essential Job Duties** - Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. - Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. - Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. - Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. - Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. - Utilizes appropriate resources to ensure member contact information is current and up-to-date. - Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. - Interacts with appropriate primary care providers to ensure member registry is current and accurate. - Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. - Proactively identifies ways to improve member relations. - Supports goal to achieve and maintain industry-leading Medicare STAR ratings. **Required Qualifications** - At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. - Excellent customer service skills. - Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. - Ability to multi-task applications while speaking with members. - Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. - Ability to meet established deadlines. - Ability to function independently and manage multiple projects. - Excellent verbal and written communication skills, including excellent phone etiquette. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Health care industry experience. - Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.7-28.8 hourly 21d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare Inc. 4.4company rating

    Akron, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Shift: 10-6:30 PM MST Essential Job Duties * Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. * Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. * Utilizes appropriate resources to ensure member contact information is current and up-to-date. * Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. * Interacts with appropriate primary care providers to ensure member registry is current and accurate. * Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. * Proactively identifies ways to improve member relations. * Supports goal to achieve and maintain industry-leading Medicare STAR ratings. Required Qualifications * At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. * Excellent customer service skills. * Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. * Ability to multi-task applications while speaking with members. * Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. * Ability to meet established deadlines. * Ability to function independently and manage multiple projects. * Excellent verbal and written communication skills, including excellent phone etiquette. * Microsoft Office suite, and applicable software program(s) proficiency. Preferred Qualifications * Health care industry experience. * Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.7-28.8 hourly 17d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare Inc. 4.4company rating

    Cincinnati, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Shift: 10-6:30 PM MST Essential Job Duties * Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. * Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. * Utilizes appropriate resources to ensure member contact information is current and up-to-date. * Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. * Interacts with appropriate primary care providers to ensure member registry is current and accurate. * Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. * Proactively identifies ways to improve member relations. * Supports goal to achieve and maintain industry-leading Medicare STAR ratings. Required Qualifications * At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. * Excellent customer service skills. * Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. * Ability to multi-task applications while speaking with members. * Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. * Ability to meet established deadlines. * Ability to function independently and manage multiple projects. * Excellent verbal and written communication skills, including excellent phone etiquette. * Microsoft Office suite, and applicable software program(s) proficiency. Preferred Qualifications * Health care industry experience. * Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.7-28.8 hourly 17d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare 4.4company rating

    Dayton, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Shift: 10-6:30 PM MST** **Essential Job Duties** - Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. - Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. - Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. - Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. - Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. - Utilizes appropriate resources to ensure member contact information is current and up-to-date. - Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. - Interacts with appropriate primary care providers to ensure member registry is current and accurate. - Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. - Proactively identifies ways to improve member relations. - Supports goal to achieve and maintain industry-leading Medicare STAR ratings. **Required Qualifications** - At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. - Excellent customer service skills. - Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. - Ability to multi-task applications while speaking with members. - Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. - Ability to meet established deadlines. - Ability to function independently and manage multiple projects. - Excellent verbal and written communication skills, including excellent phone etiquette. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Health care industry experience. - Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.7-28.8 hourly 21d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare Inc. 4.4company rating

    Dayton, OH jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Shift: 10-6:30 PM MST Essential Job Duties * Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. * Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. * Utilizes appropriate resources to ensure member contact information is current and up-to-date. * Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. * Interacts with appropriate primary care providers to ensure member registry is current and accurate. * Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. * Proactively identifies ways to improve member relations. * Supports goal to achieve and maintain industry-leading Medicare STAR ratings. Required Qualifications * At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. * Excellent customer service skills. * Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. * Ability to multi-task applications while speaking with members. * Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. * Ability to meet established deadlines. * Ability to function independently and manage multiple projects. * Excellent verbal and written communication skills, including excellent phone etiquette. * Microsoft Office suite, and applicable software program(s) proficiency. Preferred Qualifications * Health care industry experience. * Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.7-28.8 hourly 17d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare 4.4company rating

    Ohio jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Shift: 10-6:30 PM MST** **Essential Job Duties** - Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. - Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. - Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. - Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. - Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. - Utilizes appropriate resources to ensure member contact information is current and up-to-date. - Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. - Interacts with appropriate primary care providers to ensure member registry is current and accurate. - Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. - Proactively identifies ways to improve member relations. - Supports goal to achieve and maintain industry-leading Medicare STAR ratings. **Required Qualifications** - At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. - Excellent customer service skills. - Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. - Ability to multi-task applications while speaking with members. - Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. - Ability to meet established deadlines. - Ability to function independently and manage multiple projects. - Excellent verbal and written communication skills, including excellent phone etiquette. - Microsoft Office suite, and applicable software program(s) proficiency. **Preferred Qualifications** - Health care industry experience. - Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $21.7-28.8 hourly 21d ago
  • Representative, Medication Therapy Management Services (Bilingual preferred)

    Molina Healthcare Inc. 4.4company rating

    Ohio jobs

    Provides customer service support for inbound/outbound Medication Therapy Management (MTM) pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Shift: 10-6:30 PM MST Essential Job Duties * Handles and records inbound/outbound pharmacy calls with members, providers, pharmacists, pharmacies and technicians - ensuring departmental and Centers for Medicare and Medicaid Services (CMS) standards are met. * Educates Molina members on the urgency, positive impacts, and importance of completing an annual comprehensive medication review with pharmacists, and maintaining good medication adherence. * Enforces Health Insurance Portability and Accountability Act (HIPAA) compliance standards and regulations. * Provides clerical services and support to pharmacists and technician staff, and support for day-to-day pharmacy operations as delegated. * Adheres to pharmacy policies and procedures related to appropriate call resolution/transfer to internal departments as required. * Utilizes appropriate resources to ensure member contact information is current and up-to-date. * Effectively communicates general Medicare and Medicaid plan benefits to existing pharmacy members. * Interacts with appropriate primary care providers to ensure member registry is current and accurate. * Supports pharmacists with completion of comprehensive medication reviews through pre-work up to case preparation. * Proactively identifies ways to improve member relations. * Supports goal to achieve and maintain industry-leading Medicare STAR ratings. Required Qualifications * At least 1 year of related experience, including call center or customer service experience, or equivalent experience combination of relevant education and experience. * Excellent customer service skills. * Ability to work independently when assigned special projects, such as pill box requests, care management referrals, over the counter (OTC) requests, etc. * Ability to multi-task applications while speaking with members. * Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. * Ability to meet established deadlines. * Ability to function independently and manage multiple projects. * Excellent verbal and written communication skills, including excellent phone etiquette. * Microsoft Office suite, and applicable software program(s) proficiency. Preferred Qualifications * Health care industry experience. * Pharmacy related experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.65 - $28.82 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $21.7-28.8 hourly 17d ago
  • Schedule Specialist, Home Health - Remote - CHRISTUS Homecare

    Unitedhealth Group Inc. 4.6company rating

    Tyler, TX jobs

    Explore opportunities with Christus Homecare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers * Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits * Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits * Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in Required Qualifications: * High school education or equivalent experience Preferred Qualifications: * 1+ years of scheduling experience in a health care setting using an online scheduling system * Exceptional organizational, customer service, communication, and decision-making skills * Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits * All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $14-27.7 hourly 5d ago
  • Schedule Specialist, Home Health - Remote - CHRISTUS Homecare

    Unitedhealth Group 4.6company rating

    Tyler, TX jobs

    Explore opportunities with Christus Homecare, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of **Caring. Connecting. Growing together.** As the Scheduling Specialist you will managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborate with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Utilizes an automated scheduling system to maintain a calendar of services for both episodic and per visit customers + Processes workflow for requested scheduled, missed, rescheduled, reassigned, declined, and delivered visits + Monitors pending referrals daily and assigns licensed professional and case manager for all start of care visits + Communicates daily with field staff regarding any visits unaddressed in late, pending, or incomplete status for resolution as appropriate You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in **Required Qualifications:** + High school education or equivalent experience **Preferred Qualifications:** + 1+ years of scheduling experience in a health care setting using an online scheduling system + Exceptional organizational, customer service, communication, and decision-making skills + Working knowledge of state and federal regulations governing OASIS visits, supervisory, and reassessment visits *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $14.00 to $27.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
    $14-27.7 hourly 43d ago
  • Lead Practice Coordinator

    Tenet Healthcare 4.5company rating

    Patient access representative job at Tenet Healthcare

    The Medical Office Coordinator is responsible for greeting patients, answering phones and scheduling appointments. The collection of accurate patient demographics, insurance verification, referral processing, and various other areas of data entry. Coordinates the daily operations of the physician office, including the medical records process, patient and physician scheduling, overseeing the front desk, confirming appointments, and ordering office supplies. Will be responsible for charge entry and patient balance processing and the daily reconciliation of charges and payments. High School Diploma/GED 5 years of experience in a Physician Practice preferred Completion of Medical Office Assistant program preferred Healthcare management/administration certification preferred EMR/EHR experience preferred, NextGen or Athena experience preferred Proficiency in a windows environment with a working knowledge of Word, Outlook, and the Internet is required Willingness to be flexible and adaptable in a complex, matrix environment Greeting patients, answering phones and scheduling appointments Collection of accurate patient demographics Answers telephones in a prompt and courteous manner Insurance verification Referral processing Will be responsible for charge entry and patient balance processing and the daily reconciliation of charges and payments Displays concern and provides assistance or explains procedures as appropriate to callers or in face-to-face situations Ensures that all contacts with patients, the public, physicians and other personnel are carried out in a friendly, courteous, helpful and considerate manner Manage, copy, and review medical records to ensure accuracy Coordinates the daily operations of the physician office, including the medical records process, patient and physician scheduling, overseeing the front desk, confirming appointments, and ordering office supplies
    $47k-60k yearly est. Auto-Apply 41d ago

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