Costa Mesa, CA · On-site
$19.25 - $26.25/hr
... Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care ... inbound calls from nursing facilities, registering patients in the electronic medical record ...
Costa Mesa, CA · On-site
$19.25 - $26.25/hr
... Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care ... inbound calls from nursing facilities, registering patients in the electronic medical record ...
Huntington Beach, CA · On-site
$70K - $80K/yr
Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization ... Validate inbound and outbound data extracts, reports, and file transmissions. * Ensure data ...
Quick apply
Huntington Beach, CA · On-site
$70K - $80K/yr
Verda Healthcare, Inc. is a Medicare Advantage Prescriptions Drug Plan (MAPD) organization ... Validate inbound and outbound data extracts, reports, and file transmissions. * Ensure data ...
Long Beach, CA · On-site
$11.09 - $24.02/hr
Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in ... for Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of ...
Long Beach, CA · On-site
$11.09 - $24.02/hr
Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in ... for Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$18.50 - $25/hr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$18.50 - $25/hr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
Costa Mesa, CA · On-site
$19.25 - $26.25/hr
... Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care ... inbound calls from nursing facilities, registering patients in the electronic medical record ...
Quick apply
Costa Mesa, CA · On-site
$19.25 - $26.25/hr
... Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care ... inbound calls from nursing facilities, registering patients in the electronic medical record ...
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
Costa Mesa, CA · On-site
$19.25 - $26.25/hr
... Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care ... inbound calls from nursing facilities, registering patients in the electronic medical record ...
Costa Mesa, CA · On-site
$19.25 - $26.25/hr
... Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care ... inbound calls from nursing facilities, registering patients in the electronic medical record ...
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$18.50 - $25/hr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$18.50 - $25/hr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$18.50 - $25/hr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$18.50 - $25/hr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
San Jose, CA · On-site
$55K - $81K/yr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$18.50 - $25/hr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
$18.50 - $25/hr
... inbound calls and makes outbound calls to support Customer Service Department operations in a manner that maintains compliance with Medicare and Medi-Cal regulatory requirements and achieves Call ...
| Aspect | Medicare Inbound | Medicare Customer Service Representative |
|---|---|---|
| Certifications | Knowledge of Medicare policies, possibly required certifications | Same certifications, focus on Medicare knowledge |
| Work Environment | Call centers, remote or office-based | Call centers, remote or office-based |
| Employer & Industry | Health insurance companies, Medicare providers | Health insurance companies, Medicare providers |
| Job Focus | Handling inbound calls about Medicare plans and coverage | Assisting customers with Medicare inquiries and issues |
Both roles involve assisting Medicare beneficiaries via inbound calls, requiring similar certifications and work environments. The main difference lies in job titles used by employers, but their responsibilities and industry context are closely aligned.
$19.25 - $26.25/hr
Full-time
Re-posted 15 days ago
Overview
CareConnectMD DCE is a specialized High Needs Direct Contracting Entity (DCE) geared towards medically complex Medicare beneficiaries who reside in nursing homes, assisted living facilities, board and care facilities and at home. The comprehensive program provides a care model that is designed to meet the unique health care needs of medically complex Medicare beneficiaries. Under this value-based care model, CareConnectMD DCE will deliver care coordination services in close collaboration with primary care physicians, specialists, and advanced practice professionals in California, Georgia, Ohio, Indiana, Texas, as well as other expansion locations. Learn more at www.careconnectmd.com
Summary
Intake Coordinator
The Intake Coordinator will have excellent verbal / written communication skills and an understanding of the importance of delivering superb patient care in a demanding environment. This individual will operate on the frontline of the organization by working in our operations Department to respond to inbound calls from nursing facilities, registering patients in the electronic medical record, confirm insurance coverage, obtain authorization, maintain census information, obtain face sheets from nursing facilities, field inbound calls, and request and to resolve issues for our patients, skilled nursing facilities, and internal clinicians.
Responsibilities
Collects and enters patient intake information into the appropriate medical service software system to initiate the transaction. Documentation is to be concise, thorough, and accurate.
Obtains authorization and re-authorization from managed care entities: IPAs, medical groups and health plans
Confirms eligibility
Work closely with CCMD staff to ensure patient registration information is correct
For potential DCE patients, confirms eligibility for DCE program
Works with the billing department to ensure complete information for billing
Prepare and complete a variety of forms and paperwork.
Provide back-office support as requested
Participates in internal and external educational opportunities relevant to the intake services
Supports organization changes. Demonstrates flexibility in providing coverage and/ or availability for the call center via scheduling adjustments for unexpected absences, events, or call volume variances.
Handle escalated calls, complaints, questions & queries as necessary.
Train, assist & mentor new employees.
Ensure agreed customer services standards are consistently met
Service Delivery Expectations
Meets the expectations of our internal and external customers in providing excellent service.
Demonstrates positive customer relationship skills with all telephone encounters.
Demonstrates ability to handle multiple tasks effectively and efficiently.
Arrives at workstation on time, ready to work, and demonstrates minimal absenteeism.
Ability to work successfully without software applications on a computer and/ or a laptop, and / or a smartphone.
Continuously acts to maintain a safe, clean, healthy, and fun work environment consistent with Care Connect Health Services, Inc professional services, vision, values, and endeavors.
Qualifications
High School Diploma or higher
1+ years of experience in a call center environment preferred.
Able to type 50+ WPM is required
Ability to verbally articulate oneself on the telephone is required
Fluency in MS Office applications that include Word, Excel, and Outlook
Self-directed, proactive, and good problem-solving skills
Ability to manage self, manage work & work with others.
Strong work ethic & self-starter, able to effectively manage multiple priorities & adapt to change within a fast-paced business environment.
Keenness & flexibility
Essential Skills and Abilities
Self-starter that can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks
Demonstrated excellent computer skills with special emphasis on calendaring, presentation, and spreadsheet capabilities (Microsoft products: Word, Excel, Power Point_
Working knowledge of company policies, procedures, and operations
Excellent composition, grammar, and business language skills
Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management
Creative, flexible, well organized, resourceful and detail-oriented
Excellent judgment in handling confidential and sensitive information
Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency
To ensure the health and safety of our workforce while doing our part to protect those around us, CareConnectMD is requiring proof of full COVID vaccination for employees as a condition of employment, subject to legally recognized accommodations.
