healthcare customer service specialist

VXI Global Solutions

<div><p>Job Description</p><div>
It's fun to work in a company where people truly BELIEVE in what they are doing!<br>
<br>
We're committed to bringing passion and customer focus to the business.
<br>
<br>
<b>Healthcare Call Center Representative
</b><br>
<br>
<b>Location: </b>Remote (Virtual Environment)<br>
<b>Company</b>: Trusted Leader in Healthcare Services<br>
<br>
<b>Are you passionate about delivering exceptional customer service and building meaningful relationships?</b><br>
<br>
As a <b>Healthcare Call Center Representative </b>, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they get the most out of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, your objective is to deliver extraordinary service while building trust and rapport with current and prospective members.<br>
<br>
<b>What You'll Be Doing:</b><br>
<ul><li><b>
Customer Interactions:</b><br>
<ul><li>
Manage inquiries in areas such as Member Services, Medicare, and Billing.</li><li>
Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.</li></ul></li></ul><ul><li><b><br>
Quality Service:</b><br>
<ul><li>
Uphold the organization's philosophy of extraordinary customer relations.</li><li>
Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.</li></ul></li></ul><ul><li><b><br>
Problem Resolution:</b><br>
<ul><li>
Analyze and evaluate customer issues to initiate and coordinate service recovery measures.</li><li>
Document all member interactions meticulously following established procedures.</li></ul></li></ul><ul><li><b><br>
Healthcare Knowledge</b><br>
<ul><li>
Demonstrate familiarity with health insurance terminology ( copays , deductibles, claims, authorizations, etc.).</li><li>
Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.</li></ul></li></ul><ul><li><b><br>
Operational Excellence</b><br>
<ul><li>
Leverage a thorough understanding of company policies and processes to meet customer needs effectively.</li><li>
Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.</li></ul></li></ul><ul><li><b><br>
Performance Metrics:</b><br>
<ul><li>
Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.</li></ul></li></ul><ul><li><b><br>
Compliance and Ethics:</b><br>
<ul><li>
Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.</li><li>
Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.</li></ul></li></ul><ul><li><b><br>
Tools and Systems:
</b><br>
<ul><li>Use multiple systems/screens while assisting callers effectively</li><li>
Navigate CRM, EMR/EHR, and ticketing platforms effectively</li></ul></li></ul><br>
<b>
What You Bring:</b><br>
<ul><li><b>
Experience:</b><br>
<ul><li>
Minimum of two (2) years of customer service or healthcare member-interaction experience.</li><li>
Previous call center experience and/or prior experience in the health insurance industry (preferred).</li></ul></li></ul><ul><li><b><br>
Education:</b><br>
<ul><li>
High School Diploma or GED required.</li></ul></li></ul><ul><li><b><br>
Skills:</b><br>
<ul><li>
Outstanding written and verbal communication skills.</li><li>
Proven analytical and problem-solving abilities.</li><li>
Ability to respond concisely and clearly to customer queries.</li><li>
Strong critical thinking and problem-solving skills.</li><li>
Typing speed of at least 35 WPM with a 5% or lower error rate.</li></ul></li></ul><br>
<b>
Success Factors for Working from Home<br>
</b><br>
<br>
<ul><li>To thrive in this remote role, you'll need:</li></ul><ul><li><b><br>
Private Workspace: </b>A dedicated, quiet workspace with a door that closes, free from ambient noise.</li></ul><ul><li><b><br>
Ergonomics </b>: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.</li></ul><ul><li><b><br>
Reliable Internet Connection </b>: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.</li></ul><ul><li><b><br>
Quiet, Distraction-Free Workspace </b>: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.</li></ul><ul><li><b><br>
Tech-Savvy </b>: Comfort with technology and ability to learn new systems quickly.</li></ul><ul><li><b><br>
Self-motivation &amp; Independence </b>: Ability to stay productive and manage your time effectively in a remote environment.</li></ul><ul><li><b><br>
Communication Skills </b>: Strong verbal and written communication skills, especially in a virtual setting.</li></ul><ul><li><b><br>
Adaptability </b>: Ability to adapt to changing technologies and procedures while working remotely.</li></ul><br>
<b>
What You Will Get:</b><br>
<ul><li><b>
Competitive Pay:</b> Enjoy a competitive hourly rate with opportunities for performance-based increases.</li><li><b>
Comprehensive Benefits:</b> Full health insurance coverage, including medical, dental, and vision plans.</li><li><b>
Work Environment:</b> A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.</li><li><b>
Career Growth:</b> Abundant advancement opportunities within the organization.</li><li><b>
Inclusive Workplace:</b> We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.</li><li><b>
Unique Perks:</b><br>
<ul><li><b>
Cell Phone Benefits:</b> $25/month per line for unlimited phone, text, and data (restrictions may apply).</li><li><b>
Referral for Life Program&trade;:</b> Earn residual bonuses for referring employees who join the team and remain with the company.</li></ul></li></ul><br>
<b>
Join Our Team:</b><br>
If you are motivated to make a meaningful impact in the lives of others, we want to hear from you. Apply today to embark on a rewarding career where your skills and dedication will help shape the future of healthcare services.<br>
<br>
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!</div><div><div>
Original Title: US Virtual - Healthcare Call Center Representative - Work from Home</div><div>
Req Id: R26_02133_10</div><div>
Posted At: Fri Apr 10 2026 00:00:00 GMT+0000 (Coordinated Universal Time)</div></div></div>
<br><div></div><div><div><div>Customer Service</div></div><div></div><div><div>
Full Time</div></div><div></div><div><div>
Tallahassee, Florida, United States</div></div></div>

US Virtual - Healthcare Call Center Representative - Work from Home

<div><p>Job Description</p><div>
It's fun to work in a company where people truly BELIEVE in what they are doing!<br>
<br>
We're committed to bringing passion and customer focus to the business.
<br>
<br>
<b>Healthcare Call Center Representative
</b><br>
<br>
<b>Location: </b>Remote (Virtual Environment)<br>
<b>Company</b>: Trusted Leader in Healthcare Services<br>
<br>
<b>Are you passionate about delivering exceptional customer service and building meaningful relationships?</b><br>
<br>
As a <b>Healthcare Call Center Representative </b>, you will be the cornerstone of our commitment to customer satisfaction. In this role, you will provide comprehensive support and information to members, providers, and patients, ensuring they get the most out of their healthcare plans and services. By adhering to compliance guidelines and embodying our company values, your objective is to deliver extraordinary service while building trust and rapport with current and prospective members.<br>
<br>
<b>What You'll Be Doing:</b><br>
<ul><li><b>
Customer Interactions:</b><br>
<ul><li>
Manage inquiries in areas such as Member Services, Medicare, and Billing.</li><li>
Represent our client professionally by addressing and documenting all incoming queries, including complex calls related to specialized product lines.</li></ul></li></ul><ul><li><b><br>
Quality Service:</b><br>
<ul><li>
Uphold the organization's philosophy of extraordinary customer relations.</li><li>
Proactively engage with Health Plan, medical group, and facility personnel to gather relevant information for resolving member inquiries.</li></ul></li></ul><ul><li><b><br>
Problem Resolution:</b><br>
<ul><li>
Analyze and evaluate customer issues to initiate and coordinate service recovery measures.</li><li>
Document all member interactions meticulously following established procedures.</li></ul></li></ul><ul><li><b><br>
Healthcare Knowledge</b><br>
<ul><li>
Demonstrate familiarity with health insurance terminology ( copays , deductibles, claims, authorizations, etc.).</li><li>
Understand Medicare/Medicaid plans and regulations, and explain plan benefits, provider networks, and coverage policies.</li></ul></li></ul><ul><li><b><br>
Operational Excellence</b><br>
<ul><li>
Leverage a thorough understanding of company policies and processes to meet customer needs effectively.</li><li>
Contribute to departmental goals and objectives while maintaining proficiency through ongoing training and use of required tools.</li></ul></li></ul><ul><li><b><br>
Performance Metrics:</b><br>
<ul><li>
Monitor and achieve Contact Center KPIs, including call handling, first call resolution, and member retention.</li></ul></li></ul><ul><li><b><br>
Compliance and Ethics:</b><br>
<ul><li>
Consistently uphold company compliance standards and Code of Conduct, ensuring privacy and confidentiality of member information.</li><li>
Adhere to HIPAA regulations to protect personal health information (PHI) and maintain data security.</li></ul></li></ul><ul><li><b><br>
Tools and Systems:
</b><br>
<ul><li>Use multiple systems/screens while assisting callers effectively</li><li>
Navigate CRM, EMR/EHR, and ticketing platforms effectively</li></ul></li></ul><br>
<b>
What You Bring:</b><br>
<ul><li><b>
Experience:</b><br>
<ul><li>
Minimum of two (2) years of customer service or healthcare member-interaction experience.</li><li>
Previous call center experience and/or prior experience in the health insurance industry (preferred).</li></ul></li></ul><ul><li><b><br>
Education:</b><br>
<ul><li>
High School Diploma or GED required.</li></ul></li></ul><ul><li><b><br>
Skills:</b><br>
<ul><li>
Outstanding written and verbal communication skills.</li><li>
Proven analytical and problem-solving abilities.</li><li>
Ability to respond concisely and clearly to customer queries.</li><li>
Strong critical thinking and problem-solving skills.</li><li>
Typing speed of at least 35 WPM with a 5% or lower error rate.</li></ul></li></ul><br>
<b>
Success Factors for Working from Home<br>
</b><br>
<br>
<ul><li>To thrive in this remote role, you'll need:</li></ul><ul><li><b><br>
Private Workspace: </b>A dedicated, quiet workspace with a door that closes, free from ambient noise.</li></ul><ul><li><b><br>
Ergonomics </b>: A comfortable desk and chair setup that allows for the proper installation of necessary equipment.</li></ul><ul><li><b><br>
Reliable Internet Connection </b>: Stable, high-speed internet with a minimum bandwidth of 20 Mbps downstream and 20 Mbps upstream.</li></ul><ul><li><b><br>
Quiet, Distraction-Free Workspace </b>: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions.</li></ul><ul><li><b><br>
Tech-Savvy </b>: Comfort with technology and ability to learn new systems quickly.</li></ul><ul><li><b><br>
Self-motivation &amp; Independence </b>: Ability to stay productive and manage your time effectively in a remote environment.</li></ul><ul><li><b><br>
Communication Skills </b>: Strong verbal and written communication skills, especially in a virtual setting.</li></ul><ul><li><b><br>
Adaptability </b>: Ability to adapt to changing technologies and procedures while working remotely.</li></ul><br>
<b>
What You Will Get:</b><br>
<ul><li><b>
Competitive Pay:</b> Enjoy a competitive hourly rate with opportunities for performance-based increases.</li><li><b>
Comprehensive Benefits:</b> Full health insurance coverage, including medical, dental, and vision plans.</li><li><b>
Work Environment:</b> A supportive, engaging, and inclusive work environment with opportunities to grow and develop your skills.</li><li><b>
Career Growth:</b> Abundant advancement opportunities within the organization.</li><li><b>
Inclusive Workplace:</b> We are an Equal Opportunity Employer, welcoming individuals with disabilities and veterans.</li><li><b>
Unique Perks:</b><br>
<ul><li><b>
Cell Phone Benefits:</b> $25/month per line for unlimited phone, text, and data (restrictions may apply).</li><li><b>
Referral for Life Program&trade;:</b> Earn residual bonuses for referring employees who join the team and remain with the company.</li></ul></li></ul><br>
<b>
Join Our Team:</b><br>
If you are motivated to make a meaningful impact in the lives of others, we want to hear from you. Apply today to embark on a rewarding career where your skills and dedication will help shape the future of healthcare services.<br>
<br>
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!</div><div><div>
Original Title: US Virtual - Healthcare Call Center Representative - Work from Home</div><div>
Req Id: R26_02133</div><div>
Posted At: Fri Apr 10 2026 00:00:00 GMT+0000 (Coordinated Universal Time)</div></div></div>
<br><div></div><div><div><div>Customer Service</div></div><div></div><div><div>
Full Time</div></div><div></div><div><div>
Montgomery, Alabama, United States, 36130-2751</div></div></div>

Tenet Healthcare

<div><div>Embark on a rewarding career with <b>Detroit Medical Center Shared Services</b>. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.</div><div><b><br>
Benefits Statement</b></div><div>
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That&rsquo;s why we offer more than a job &ndash; we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
<br>
<ul><li>Medical, dental, vision, and life insurance</li><li>401(k) retirement savings plan with employer match</li><li>Generous paid time off (PTO)
</li><li>Career development and continuing education opportunities
</li><li>Health savings accounts, healthcare &amp; dependent flexible spending accounts</li><li>Employee Assistance program, Employee discount program</li><li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder &amp; childcare, auto &amp; home insurance.
</li></ul></div><p>Note: Eligibility for benefits may vary by location and is determined by employment status
</p><p><b>Job Summary</b></p><p>
Under general direction and according to established policies and procedures, answers incoming calls and initiates outbound calling for the assigned department to include physician/program/patient satisfaction surveys and pre-appointment/scheduling reminders.
</p><p><b>Responsibilities</b></p><p>
Provides tele-health services including, but not limited to, physician, diagnostic, program appointment scheduling, physician specialty consult line requests and educational classes/seminar schedules.</p><p>
Responds to inquiries and/or refers the caller to the appropriate physician, department or program based on information provided by the caller.
</p><p>Identifies calls of a serious/urgent nature and directs them to an urgent/emergent care environment or Triage function as appropriate. Interprets customer needs and utilizes a computerized database to assist in arranging for resources to achieve customer satisfaction.</p><p>
Utilizes existing database marketing identifiers as a tool to aid the patient in more effectively achieving quality of life through enhanced/managed care assistance by properly identifying related support programs and treatment options.</p><p>
Collects and verifies all necessary demographic insurance and related data. Verifies insurance coverage and benefit levels, obtains and analyzes necessary authorizations and referrals, and calculates estimated patient liability for call transactions.</p><p>
Explains how to complete appropriate forms to patient and/or family to ensure the necessary consent forms and patient signatures are obtained. Provides financial counseling services to assist patients in identifying and obtaining payment sources. Completes charge entry, reviews, monitors and reconciles patient accounts to ensure accurate billing production.
</p><p>Ensures compliance with third party payor requirements. Reconciles and corrects user specific reports.
</p><p>Establishes and maintains contacts with DMC representatives and physicians office staff in order to become familiar with their needs and concerns through the Physician Liaison Program.
</p><p>Generates database, word processing and spreadsheet marketing reports. Maintains patient service records and conducts routine database profile updates, data management/accuracy audits, and inter-departmental synchronizing of frequently changing information.
</p><p>Participates with other members of the department in continuous quality improvements that lead to achieving and sustaining high levels of customer satisfaction.
</p><p>Acts as a community liaison through participation in DMC sponsored health initiatives.<br>
</p><br>
<br>
<b>Qualifications:</b><p><br>
1. High school diploma or equivalent. Two to five years of college level course work and/or related experience in health care field preferred.</p><p>
2. Two years of experience with direct patient and/or physician contact in a clinical or administrative setting, or at least one year of experience with direct patient and/or physician contact in a clinical or administrative setting working with the same software program and customer base as the DMC Call Center.</p><p>
3. Two to five progressive years of work experience in insurance, medical record, billing or related area preferred.
</p><p><b>Facility Description</b></p><div>
The <b>Detroit Medical Center (DMC)</b> is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital.</div><div>
</div><div>DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services.</div><div>
DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan.<br>
</div><p><b>EEO Statement</b></p><p>
Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;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.
</p><p>Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.</p><p>
Tenet participates in the E-Verify program. Follow the link below for additional information.</p><p>
E-Verify: http://www.uscis.gov/e-verify</p><p>
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations</p><div>
<div><b>
JOB: </b></div>Clerical/Office Support
</div><div><div><b>PRIMARY LOCATION: </b></div>Detroit, Michigan
</div><div><div><b>FACILITY: </b></div>Detroit Medical Center Shared Services
</div><div><div><b>JOB TYPE: </b></div>Full Time
</div><div><div><b>SHIFT TYPE: </b></div>Day
</div>
<p>Employment practices will not be influenced or affected by an applicant&rsquo;s or employee&rsquo;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.<br>
Tenet participates in the E-Verify program. Follow the link below for additional information.<br>
E-Verify: http://www.uscis.gov/e-verify<br>
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
</p>
2606000788</div>

Call Center Advisor - Health Acess Center

HARBIN CLINIC

<div></div><div><div><div><div><div><div><div><div><p>NC, United States<br>
Job ID: R211995
<br>
Shift: Various
<br>
Job Type: Regular
</p></div><div><div><div><div>Share: mail</div></div></div></div><div></div><div><br>
</div></div><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>Department:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
12705 Enterprise Corporate - Patient Access &amp; Care Team: NC/GA Operations<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Status:</b>
</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>Full time<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Benefits Eligible:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
Yes<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Hou</b><b>rs Per Week:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>
40<p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Schedule Details/Additional Information:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
Monday-Friday 10a-7p</p><p></p><p><b>
Pay Range</b></p>
$21.85 - $32.80<p></p><p><b>
Major Responsibilities:</b></p><ul><li>
Uses facility/provider information and established policies and procedures to seamlessly link the patient experience between PACT and the practice site.
</li><li>Uses resources and critical thinking skills to assist inbound callers. Makes outbound calls when required or when follow up is deemed necessary.
</li><li>Has the ability to recognize complex problems and questions and escalates for resolution when needed. Performs basic technical troubleshooting in connection to online applications, systems, or access as requested to resolve issues.</li><li>
Responsibilities include scheduling patient appointments and coordinating cancellations, reschedules, and additions to schedules. Obtains demographic and insurance information and verifies insurance coverage. Ensures insurance and patient information obtained is complete and accurate, updating information if necessary, applying acquired knowledge of government and third-party payer requirements.
</li><li>Completes all essential forms, obtains necessary information, such as patient demographic and insurance information. Verifies and updates the medical record with patient information.
</li><li>Identifies emergent calls based on information provided by caller and department procedures. Follows the process for immediate transfer to Registered Nurse for triaging. Responsible for competency in and adherence to guidelines for emergency situations and critical call handling.
</li><li>Determines the needs of patients calling the call center which results in routing patients for triage, scheduling, rescheduling, and canceling appointments, submitting medication refill requests for evaluation, and paging providers and facilities as appropriate.
</li><li>Provides customer service per established departmental standards as measured by patients on post call survey. Asks clarifying questions, presents options or solutions, and understands the level of complexity of the call, escalating only those situations necessary for resolution.
</li><li>Assists with organizational marketing efforts by providing associated information and referral to customer, while maintaining appropriate records for documentation. Conducts regular reporting and updating of the provider and marketing databases.
</li><li>Performs additional duties based on department needs.
</li><li>Maintains knowledge and efficient utilization of all information systems utilized by the department.
</li></ul><p></p><p><b>Licensure, Registration, and/or Certification Required:</b></p><ul><li>
None</li></ul><p><b>
Education Required:</b></p><ul><li>
High School Graduate</li></ul><p><b>
Experience Required:</b></p><ul><li>
Typically requires 0 -1 year experience in a call center, healthcare or other applicable customer service-related area</li></ul><p></p><p><b>
Knowledge, Skills &amp; Abilities Required:</b></p><ul><li>
Knowledge of customer service and ability to work with a variety of patients and patient situations. Ability to follow workflows while operating in a structured environment
</li><li>Basic knowledge of medical terminology is helpful but not required.
</li><li>Basic understanding of computers and desktop software packages.
</li><li>Ability to work in a fast-paced environment, handling a variety of customer/patient needs.
</li><li>Basic multitasking and problem-solving skills, as well as organization and prioritization skills.
</li><li>Ability to use/manage a multiple-line telephone system.
</li><li>Demonstrated ability for analysis, logical thinking, accuracy and concern for detail.
</li><li>Strong verbal communication skills and ability to interact with a diverse customer population.
</li><li>Ability to provide excellent customer service and follow up. Ability to communicate with customers/patients while researching and documenting the interaction on multiple systems.
</li><li>Ability to work with a variety of customers and actively listen to successfully determine the customer's needs. Ability to resolve customer issues.
</li><li>Ability to work a variety of hours based on departmental business needs.
</li></ul><p><b>Physical Requirements and Working Conditions:</b></p><ul><li>
Must have functional vision, touch, speech, and hearing.
</li><li>Required to sit most of the workday.
</li><li>Operates all equipment necessary to perform the job.
</li><li>Exposed to normal office environment and/or remote work environments
</li><li>This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
</li></ul><p></p><p><i>This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.</i></p><p></p><p><b>
Our </b><b>Commitment to You:</b></p><p></p><p>
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:</p><p></p><p><b>
Compensation</b></p><ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul><p></p><p><b>
Benefits and more</b></p><ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
About Advocate Health</b></p><p></p><p>
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
</p>Acts as the first point of contact for customers reaching out to Advocate Health through established Patient Access &amp; Care Team (PACT) services for both internal and external partnerships. Supports base PACT initiatives and services accurately documenting each interaction using the electronic medical record. Able to provide wayfinding and/or resolve customer inquiries including but not limited to providing general information, paging providers, front ending symptomatic patients call for nurse triage, updating customer information/demographics, verifying medical records, entering medication refill requests, and scheduling patient appointments.</div></div></div></div></div></div></div><div></div>

PACT Representative I

Highmark Health

<div><h2 class="jobSectionHeader"><b>Company :
</b></h2>Highmark Inc.
<h2 class="jobSectionHeader"><b>Job Description :
</b></h2><p><b>JOB SUMMARY
</b></p><p></p><p>This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs the member and/or provider of the approval and/or denial of the requested authorization.
<br>
<br>
<b>ESSENTIAL RESPONSIBILITIES
</b></p><ul><li>Obtain call task from Utilization Management platform, perform verbal outbound call task requirement following a detailed script and desk level procedure, and appropriately log result within the platform.
</li><li>Obtain triage task from Utilization Management platform and follow a detailed desk level procedure to enter the required fields to set up the case build (data entry) and set the urgency of the case creation for the Intake Coordinator.
</li><li>Other duties as assigned or requested.
</li></ul><p></p><p><b>EXPERIENCE<br>
</b></p><p><br>
<b>Required
</b></p><ul><li>None
</li></ul><p></p><p><b>Preferred
</b></p><ul><li>1 year of Customer Service experience
</li><li>1 year of Call Center experience
</li>1 year of Healthcare experience<br>
<li>
</li></ul><p><br>
<b>SKILLS
</b></p><ul><li>Possess good written and oral telephonic communication skills
</li><li>Ability to navigate through multiple systems simultaneously
</li><li>Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax
</li>Ability to interact well with peers, supervisors, and customers<br>
<li>
</li></ul><p><br>
<b>EDUCATION<br>
</b></p><p><br>
<b>Required
</b></p>High School Diploma<br>
<ul><li>
</li></ul><p><br>
<b>Preferred
</b></p>None<br>
<ul><li>
</li></ul><p><br>
<b>LICENSES or CERTIFICATIONS<br>
</b></p><p><br>
<b>Required
</b></p>None<br>
<ul><li>
</li></ul><p><br>
<b>Preferred
</b></p>None<br>
<ul><li>
</li></ul><p><br>
<b>Language (Other than English):
</b></p><p>None
</p><p></p><p><b>Travel Requirement:
</b></p><p>0% - 25%
</p><p></p><p><b>PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
</b></p><p></p><p><b>Position Type
</b></p><p>Office- or Remote-based
</p><p></p><p>Physical work site required
</p><p>Constantly
</p><p></p><p>Travel Required
</p><p>0% - 25%
</p><p></p><p>Audible Speech
</p><p>Frequently
</p><p></p><p>Hear
</p><p>Frequently
</p><p></p><p>Position self or move lower on ground, under tables/desk, etc.
</p><p>Occasionally
</p><p></p><p>Climb
</p><p>Occasionally
</p><p></p><p>Drive
</p><p>Never
</p><p></p><p>Reach
</p><p>Occasionally
</p><p></p><p>Sedentary Position
</p><p>Constantly
</p><p></p><p>Move
</p><p>Occasionally
</p><p></p><p>Repetitive Motion
</p><p>Constantly
</p><p></p><p>Use Hands/Fingers to Handle or Feel (beyond data entry)
</p><p>Occasionally
</p><p></p><p>Vision - Distinguish Color
</p><p>Occasionally
</p><p></p><p>Vision - Far, near, Depth Perception
</p><p>Occasionally
</p><p></p><p>Lifting: up to 10 pounds
</p><p>Constantly
</p><p></p><p>Lifting: up to 20 pounds
</p><p>Occasionally
</p><p></p><p>Lifting: up to 50 pounds
</p><p>Never
</p><p></p><p>Lifting in excess of 50 pounds
</p><p>Never
</p><p></p><p><b><i>Disclaimer: </i></b><i>The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
</i><br>
<br>
<b><i>Compliance Requirement </i></b><i>: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
</i><br>
<br>
<i>As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
</i><br>
<br>
<i>Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
</i></p><p><b>Pay Range Minimum:
</b></p>$19.39
<p></p><p><b>Pay Range Maximum:
</b></p>$24.19
<p></p><p><i>Base pay is determined by a variety of factors including a candidate&rsquo;s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
</i></p><p></p><p>Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
</p><p></p><p>We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
</p><p></p><p>For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
</p><p></p><p>California Consumer Privacy Act Employees, Contractors, and Applicants Notice</p></div>

Associate Intake Coordinator

Swisslog Healthcare

<div><div><div><h3 class="jobSectionHeader"><b>Make an Impact with Healthcare Technology Jobs That Matter
</b></h3>The primary responsibility of the Implementation Specialist is the delivery of training and guidance to customers in support of the implementation of Swisslog&rsquo;s Automated Drug Management Systems (Pharmacy Automation) Solutions. Proper training is essential to the adoption and success of our automation solutions. The Implementation Specialist represents Swisslog Healthcare to our customers and must demonstrate exceptional customer service and interpersonal skills. In addition, the Implementation Specialist will provide training to internal staff as needed in the support of their particular roles and responsibilities to the Pharmacy Automation business.
</div></div><div><h3 class="jobSectionHeader"><b>Short Facts</b></h3>
<p></p><div><ul><li><div>Remote
<br>
Westminster, CO
</div></li><p></p><li><div>Customer Service</div>
</li><p></p><li><div>Permanent Position</div>
</li></ul></div></div><div><div><h3 class="jobSectionHeader"><b>Responsibilities</b></h3>
<div>Make an impact
<p></p>
The Implementation Specialist provides training, as well as project leadership for the implementation of the Pharmacy Automation products.
<ul><li>Facilitates the execution of all training plans and assists with the evaluation of the effectiveness of the training.
</li><li>Delivers training at customer sites, the Automation Academy, and through web-based tools on Swisslog products and solutions.</li>
<li>Provides guidance to customers and internal staff on automation best practices.
</li><li>Assists the Pharmacy Automation business team by responding to questions and assisting with support issues from staff and customers.</li>
<li>Organizes and develops training manuals, guides and course materials for presentations and training sessions.</li>
<li>Provides training to internal team members as required.</li>
<li>Training Delivery - Leads in-person and web based learning activities on Swisslog products and solutions, and guidance on automation best practices.
</li><li>Implementation Support - Participate in post-sales/pre-installation meetings and conference calls as required
</li><li>Provide documentation for Kick-Off meeting outlining expectations pertaining to training</li>
<li>Guide the customer through the implementation and application build, including label specifications, management of medication orders and priorities, and the development of the medication formulary</li>
<li>Go-Live and Customer Support - Provides on-site support for go-live activities and coordinates the transition to Field Service support</li>
<li>Instructional Design - Assist the Operations team with the development of the curriculum and delivery method, to include trainer-led classroom and hands-on instruction, computer based training (CBT), or blended learning.</li>
</ul></div></div><div><h3 class="jobSectionHeader"><b>Application Requirements</b></h3>
<div>What you need to succeed
<ul><li>Associates Degree (preferred)</li>
<li>Pharmacy Technician, State Licensed or licensed by PTCB (Pharmacy Technician Certification Board) preferred, or equivalent experience</li>
<li>5+ years working in hospital inpatient pharmacy</li>
<li>Experience with the implementation of Medication Management systems and automation preferred</li>
<li>Computer Proficient: including working knowledge of Microsoft Office applications and basic troubleshooting skills</li>
<li>Must be able to work independently and as part of larger collaborative team</li>
<li>Passionate about providing exceptional customer service</li>
</ul> Salary range for this position is $63,000 - $75,000. Salary will be commensurate with experience and skillset. We offer a comprehensive benefits package including medical / dental / vision insurance, tuition reimbursement, disability, 401k matching (up to 8%).</div>
</div></div><div><div><div><div><div><div><div>Global Opportunities</div>
</div></div><div><div><div>Great Team Spirit</div>
</div></div><div><div><div>Grow with Us!</div>
</div></div><div><div><div>Latest Technology</div>
</div></div></div></div></div></div><div></div><div><div><h3 class="jobSectionHeader"><b>Equal Opportunity Employer</b></h3><p>
Swisslog Healthcare is an Equal Opportunity Employer, all qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, status as a protected veteran, or any other applicable status protected by federal, state or local law.</p><p><br>
</p><p>Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require reasonable accommodation to complete the application or to perform your job, please contact Human Resources at jobs.healthcare.us@swisslog-healthcare.com</p><h3 class="jobSectionHeader"><b>
Our Vision: Lead Change for Better Care
</b></h3><p>Swisslog Healthcare empowers hospitals and healthcare facilities with advanced pharmacy and transport automation solutions that streamline medication management and support clinical workflows. With over 1,200 dedicated employees serving more than 3,500 health facilities worldwide, we&rsquo;re committed to improving patient safety and giving healthcare professionals more time for what matters most: caring for patients. Join us in shaping the future of healthcare.</p></div></div></div>

Implementation Specialist, Customer Training, Pharmacy Automation

East Alabama Medical Center

<div><ul><li><div><p><b>EAMC MISSION</b></p>
</div><ul><li><div><div>At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control.</div>
</div></li></ul></li><li><div><b>POSITION SUMMARY</b></div>
<ul><li><div><div>The Patient Processing Pre-certification Scheduling Specialist functions in a high volume, fast-paced environment. The Specialist provides courteous and efficient service to patients and physician offices while scheduling requested appointments across multiple locations. Concise communication skills and excellent customer service are a must for this position. The Specialist should be a driven, self-motivated individual who is able to move between tasks quickly, making the most of their time.</div>
</div></li></ul></li><li><div><b>POSITION QUALIFICATIONS</b></div>
<ul><li><div><div><b>Minimum Education
</b></div><ul><li><div>High School Diploma or equivalent</div>
</li></ul></div></li><li><div><div><br>
<b>Minimum Experience
</b></div><ul><li><div>1-2 years customer service experience, including working on a computer.</div>
</li></ul></div></li><li><div><div><br>
<b>Required Registration/License/Certification
</b></div><ul><li><div>N/A</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Education
</b></div><ul><li><div>Associate Degree in Business or Health related field, Knowledge of Medical Terminology Preferred, Knowledge of ICD-10 and CPT coding preferred</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Experience
</b></div><ul><li><div>1-2 years healthcare/hospital experience and/or customer service experience.</div>
</li><li><div>1-year computer experience and the ability to type and spell accurately.</div>
</li></ul></div></li><li><div><div><br>
<b>Preferred Registration/License/Certification</b></div>
<ul><li><div>Certification of Patient Accounts preferred.</div>
</li></ul></div></li><li><div><div><br>
<b>Other Requirements</b></div>
<ul><li><div>N/A</div>
</li></ul></div></li></ul></li></ul><br>
Location: EAMC &middot; RAD SUPP<br>
Schedule: FT, First Shift</div>

PATIENT PROCESSING PRE CERT SCHEDULING SPECIALIST - OIFED

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PACT Representative I

Associate Intake Coordinator

Implementation Specialist, Customer Training, Pharmacy Automation

PATIENT PROCESSING PRE CERT SCHEDULING SPECIALIST - OIFED