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Part-time Intake Case Coordinator

Job Details

The Intake Case Coordinator (“ICC”) is an integral member of Axiom’s Ops Support – Central Services Department (“CS”). The ICC will play a key role in providing customer service and screening support to the employees of Axiom’s clients. The ICC will be accountable for answering phones and taking information on new incidents/injuries, communicating, and escalating necessary information, and working with company databases.  Additionally, the ICC will have other duties and responsibilities as determined from time to time by the Operations or Team Manager. 

Essential Functions: 
The essential functions of the ICC are to:

  • Assign new cases to medical staff in accordance with corresponding licensing laws
  • Provide excellent customer service in a fast-paced environment
  • Performing administrative duties to multiple departments as needed, in accordance with Service Level Agreements where applicable
  • Developing and maintaining cooperative and professional relationships with fellow employees, supervisors, and leadership from various departments
  • Perform initial assessments of intake calls

Qualifications:
The successful candidate should have a combination of demonstrated experience and education that is equivalent to 1 year with a focus on call center, customer service or related fields.

Physical Requirements:

  • Regularly required to, stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach,
  • Specific vision abilities required by this job include close vision requirements due to computer work,
  • Light to moderate lifting is required
  • Regular, predictable attendance is required
  • This is a remote position.
 

APPLY HERE: Part-time Intake Case Coordinator

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Care Coordinator II

Job Details

You could be the one who changes everything for our 28 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.

**Applicants for this role have the flexibility to work remotely from their home anywhere in the Eastern or Central time zone. The work schedule is Monday – Friday, 8am – 5pm Eastern. Previous call center experience is preferred.**

Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.

  • Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
  • Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
  • Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan
  • Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service
  • May support performing service assessments/screenings for members and documenting the member’s care needs
  • Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed
  • Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
  • Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager
  • Provide education on benefits and resources available
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Education/Experience: Requires a High School diploma or GED.
Requires 1 – 2 years of related experience

Pay Range: $17.84 – $28.02 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

APPLY HERE: Care Coordinator II

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Concierge – Call Center (Remote, $18/hr)

Job Details

American Specialty Health Incorporated (ASH) is seeking a Concierge to join our ASHCare Managed Services department.

The Concierge is an essential role serving to enhance the coordination of members and providers for the Virtual Physical & Occupational Therapy and Fall Prevention services. The Concierge verifies program eligibility, completes assessments, obtains member payment responsibilities, coordinates appointment scheduling, and provides appropriate program navigation and technical support

Remote Worker Guidelines

  • Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum 50 Mbps download and 50 Mbps upload speed.)


Responsibilities

  • Coordinates intake, navigation services, and administrative support for Virtual Physical & Occupational Therapy and Fall Prevention program:
    • Receives and responds to telephone calls, emails, and chats, greeting members with a courteous, welcoming manner and offering an introduction and pertinent information.
    • Utilizes defined criteria to determine caller qualification for applicable programs.
    • Gathers detailed and accurate information and enters data into company electronic systems and communication logs, including a triage survey.
    • Schedules or reschedules, new and recurring member appointments by navigating state specific licensure requirements and applicable time zone preferences.
    • Coordinates the collection of pre-visit information, including member cost share or payment when necessary.
    • Reviews with member the requirements for a successful Virtual Physical & Occupational Therapy session or Fall Prevention Assessment, including necessary equipment and secured internet connection, and assists with technical support as needed.
    • Manages time to ensure calls are answered within required time frames and appropriate follow up is conducted in a timely manner.
    • Maintains thorough, up-to-date and confidential records regarding member experience.
    • Exercises strict confidentiality in all matters relating to the member experience.
    • Maintains safe, secure, and healthy work environment by following all legal and compliance requirements.
    • Attends and participates in employee and company meetings to discuss issues and foster teamwork among department personnel.
  • Assists with administrative duties related to the Virtual Physical & Occupational Therapists:
    • Receives and responds to telephone calls, emails and chats from participating providers/practitioners.
    • Assists with troubleshooting member/patient issues as it relates to access to care, scheduling, and claims.
    • Review systems to ensure proper license and certification documentations from newly onboarded Physical Therapist.
  • Performs other duties as assigned.
  • Complies with all policies and standards.


Qualifications

  • High School Diploma or GED certificate required.
  • 1 year experience with Call Center or Customer Service operations, preferably in a Managed Care or Health Care environment required.
  • 3 years general office experience including administrative support and project management required.
  • Computer proficiency in MS Office; Outlook, Word, Excel, SharePoint experience required.


Core Competencies

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage time.
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.


Mobility

  • Primarily sedentary, able to sit for long periods of time.


Physical Requirements

  • Ability to see, speak, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to lift up to 10 lbs.


Environmental Conditions

  • Work-from-home (WFH) environment.


American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

#LI-Remote #Concierge #Healthcare #CallCenter #Customerservice

 
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Patient Advocate

Job Details

AccessOne MedCard, Inc., is an indirect wholly owned subsidiary of Phreesia, Inc. AccessOne is a market leader in providing financing solutions for healthcare receivables, working with some of the largest health systems in the U.S. AccessOne takes minimal credit risk and offers healthcare providers a scalable, compliant and operationally efficient tool that improves collections without undermining patient trust.  

 

Phreesia is committed to helping healthcare organizations succeed in an ever-evolving landscape by transforming the way healthcare is delivered. Our SaaS platform digitizes appointment check-in and offers tools to engage patients, improve efficiency, optimize staffing, and enhance clinical care. Phreesia cares about our employees by providing a diverse and dynamic work environment. We’re an eight-time winner of Modern Healthcare Magazine’s Best Places to Work in Healthcare award and we’ve been recognized on the Bloomberg Gender Equality Index. We are dedicated to continuously improving our employee experience by launching new programs and initiatives.  

 

Patient Advocacy is the center of what AccessOne does, and the Patient Advocate Call Center is the core of the operations. Patient Advocates are dedicated to making the patient payment process as easy and effortless as possible, for both patients and providers.  

 

This is a work-from-home position.   

 

AccessOne is a Phreesia company. This role performs work for Phreesia’s subsidiary, AccessOne MedCard, Inc. Payroll and benefits are provided by Phreesia, Inc. 

 

What You’ll Do

As a Patient Advocate, you will provide best-in-class service to health system patients in a call center environment by:

  • Serve as the first point of contact for patients regarding billing questions, account balances, setting up payment plans, and create new or add charges to existing AccessOne accounts by handling inbound and outbound patient interactions with a high degree of professionalism, empathy and efficiency
  • Review patient accounts, verify balances, and provide clear explanation of statements and adjustments 
  • Use judgment and problem-solving skills to resolve inquiries, troubleshoot issues, and provide accurate guidance and information about products, services and policies, and escalate complex issues when necessary while maintaining ownership of the patient’s experience 
  • Meet quality, accuracy, and service-level standards while maintaining empathy and professionalism
  • Collaborate with internal teams to share patient insights and support continuous improvement 
  • Protect patient privacy and adhere to HIPAA, financial compliance requirements, and organizational policies 
  • Other tasks or projects as needed or assigned  

 

What You’ll Bring

You are empathetic and passionate about helping people. You want to bring your talents to a company where what you do makes a positive impact on people’s lives. You thrive in a structured environment and are looking for a role that offers work/life balance. You’re always learning and growing, and you’re looking for a company that will support you on your professional development journey.  

 

The Patient Advocate, opportunity may be a match for you if you have the following knowledge, skills, and abilities:  

  • Proficiency with MS Office, Windows OS, and web browsers  
  • Excellent verbal and written communication skills  
  • Effective time management and organizational skills  
  • High level of professionalism, reliability, and integrity 
  • Ability to work uninterrupted 8-hour shifts with scheduled rest breaks and meal periods  
  • Ability to work in a fast-paced environment while maintaining accuracy and focus 
  • Strong analytical and decision-making skills to evaluate account details and recommend solutions 
  • Proven ability to safeguard highly confidential information  
  • Ability to respond to and de-escalate sensitive matters with patience, compassion, and empathy  

 

If you also have these preferred qualifications, we consider that a major plus!

  • Medical billing experience  
  • Call center experience  
  • Spanish language fluency  

 

Hourly rate for US is $18-$23, depending on qualifications. Phreesia is a fully remote company; however, candidates located in ET and CT regions are given priority in the hiring process.

 

 

Disclosure: This posting is to fill an existing vacancy.

 

Who We Are:

 

At Phreesia, we’re looking for smart and passionate people to help drive our mission of creating a better, more engaging healthcare experience. We’re committed to helping healthcare organizations succeed in an ever-evolving landscape by transforming the way healthcare is delivered. Our SaaS platform digitizes appointment check-in and offers tools to engage patients, improve efficiency, optimize staffing, and enhance clinical care.

 

Phreesia cares about our employees by providing a diverse and dynamic work environment. We’re a five-time winner of Modern Healthcare Magazine’s Best Places to Work in Healthcare award and we’ve been recognized on the Bloomberg Gender Equality Index. We are dedicated to continuously improving our employee experience by launching new programs and initiatives. If you thrive in a culture of recognition, value inclusivity, professional development, and growth opportunities, Phreesia could be a great fit!

 

Top-rated Employee Benefits:

  • 100% Remote work + home office expense reimbursements

  • Competitive compensation

  • Flexible PTO + 8 company holidays

  • Monthly reimbursement for cell phone + internet + wellness

  • 100% Paid 12-week parental leave to our U.S. employees, as well as a generous parental benefit to our employees in Canada

  • Variety of insurance coverage for people (and pets!)

  • Continuing education and professional certification reimbursement

  • Opportunity to join an Employee Resource Group. Learn more here: https://www.phreesia.com/workforce/

 

Disclosure: Phreesia uses certain automated tools, including artificial intelligence, to support the assessment of applicants for this position.

 

We strive to provide a diverse and inclusive environment and are an equal opportunity employer.

 
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Senior Receivables Support Specialist

Job Details

The Receivables Support Administrative position plays a crucial role in ensuring the efficient and accurate management of the company’s Accounts Receivable (A/R) portfolio.

This position is responsible for a range of administrative tasks that support the collections and cash application processes, contributing to the overall financial health of the organization, inclusive of the setup and maintenance of customer payment methods, processing A/R adjustments, and may be involved in the administration and tracking of customer payment plans.

This role requires strong organizational skills, attention to detail, and the ability to interact professionally with both internal teams and external customers on occasion.

How you’ll make an impact

  • Payment Processing Support: Facilitate the setup and maintenance of customer accounts for various payment methods, including direct debit ACH. Ensure accurate and timely processing of payment authorizations and updates.

  • A/R Adjustments: Process and document various A/R adjustments, such as write-offs and refunds, ensuring proper approvals and adherence to company policies.

  • Risk Management:  Manages customer situations by analyzing account history and information to provide solutions, support retention, and make decisions regarding payment options, reactivations, and escalations. Ensures aged credits are minimized in line with compliance limits, while mitigating financial risk through careful decision-making.

  • Customer Interaction: Respond to customer inquiries related to payment methods, adjustments, and payment plans in a professional and timely manner, escalating complex issues as necessary.

  • Process Improvement: Identify opportunities for process improvements within the administrative functions of the Receivables Support Operations department and contribute to the development of more efficient workflows.

  • AI and Automation: Proactively identify and embrace opportunities to integrate AI and automation technologies into operational processes. This includes initiatives to drive scale, reduce reliance on manual processes, and mitigate operational risks.

  • Compliance: Ensure all activities are conducted in compliance with relevant company policies, procedures, and regulatory requirements.  

  • Record Keeping:  Accurately documents account activities, ensures timely follow-up, and meets quality and productivity metrics.

  • Collaboration: Work closely with the Collections, Cash Applications, and other internal teams to ensure seamless A/R processes.

  • Administrative Support: Provide general administrative support to the A/R team, including data entry, record-keeping, and generating reports as required. 

  • Payment Plan Administration (as applicable): Assist in the administration and tracking of customer payment plans, including documentation, monitoring adherence, and escalating past-due accounts as needed.

These statements are intended to describe the general nature and level of work being performed rather than give an exhaustive list of all duties and responsibilities.
 

Experience you’ll bring

Minimum Required Qualifications for Consideration

  • Associate’s degree or above in Accounting or Business Related Field preferred with at least 1 year of relevant experience

  • Thrives in a deadline-oriented environment with ability to manage multiple projects concurrently

  • Well-versed in the Fair Debt Collection Practices Act (FDCPA) and able to apply it to decision-making.

  • Analytical and problem solving skills

  • Intermediate computer software literacy

  • Detail oriented

  • Self-motivated and dependable

  • Organizational/Time Management ability

  • Flexible/Adaptable to change

  • Must successfully pass a background investigation.

Preferred Qualifications

  • Ability to leverage analytical abilities to guide decisions that mitigate risk.

  • Ability to demonstrate initiative, curiosity and an eagerness to learn.

  • Experience with the identification and execution of process improvement initiatives, using process improvement methodologies.

  • Demonstrated focus on ongoing professional development, inclusive of industry practices and regulatory changes.

The base pay range represents the anticipated low and high end of the pay range for this position. Actual pay rates will vary and will be based on various factors, such as your qualifications, skills, competencies, and proficiency for the role. Base pay is one component of WEX’s total compensation package. Most sales positions are eligible for commission under the terms of an applicable plan. Non-sales roles are typically eligible for a quarterly or annual bonus based on their role and applicable plan. WEX’s comprehensive and market competitive benefits are designed to support your personal and professional well-being. Benefits include health, dental and vision insurances, retirement savings plan, paid time off, health savings account, flexible spending accounts, life insurance, disability insurance, tuition reimbursement, and more. For more information, check out the “About Us” section.

Pay Range: $20.00 – $26.00

 
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