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Healthcare Support Specialist

agilon health Pittsburgh, PA
  • Expired: 25 days ago. Applications are no longer accepted.

Job Description:

Supports the Population Health Management (PHM) program in day to day operations, patient outreach and reporting requirements. The Support Specialist has a basic understanding of care coordination processes to support and intervene in areas allowable under the scope of practice for this role. Ability and willingness to develop expertise related to the operational functions of the PHM program. The role requires effective communication skills to engage collaboratively with PHM staff, other health care professionals and patients/members.

Qualifications:

  • 2-3 years medical and/or healthcare experience preferred
  • Certified Medical Assistant preferred
  • Medical Terminology course/knowledge preferred, not required
  • Intermediate knowledge of Microsoft Office required
  • Process improvement and/or project management experience preferred, not required
  • High School diploma or equivalent
  • Must demonstrate strong verbal and written communication skills
  • Must demonstrate ability to work as part of the team

Responsibilities:

Responsibilities include but are not limited to:

  • Provides administrative and technical support through knowledge of operational support needs for the department, including:
    • Managing phones and emails
    • Payroll management
    • Direct support to management staff
    • Other PHM clerical functions
  • Provides efficient and effective communication among care management staff, members and all other health care providers (internally/externally). Follows through on assigned duties and commitments, including:
    • Review referrals for case management intensity and send to appropriate nurse for review
    • Request medical records from provider for review when needed
    • Data entry of faxed referrals and review for coordinator approval
    • Coordinate care with providers for patients to access services, as assigned
    • Verify eligibility and benefits for qualifications of services
    • Perform professional customer service and efficient problem solving for all health services related calls
    • Maintain and provide resource information to PHM staff members
    • Send discharge survey letters to patients/families
    • Maintain turnaround time compliance in all aspects of the PHM standards and regulatory process
  • Actively participate in process improvement activities and perform audits, as assigned
  • Collects data and provides statistical information and regular updates to leadership on programs and projects

agilon health

Why Work Here?

Awesome leadership, great benefits, opportunity for growth and putting your stamp on things!

The passion to change the way healthcare is delivered permeates everyone and everything at agilon health. Working together we can use our expertise to make a difference in the lives of patients and physicians alike. We can bring the joy back to practicing medicine for physicians and improve the care experience for patients across the country. We believe that every member of our team plays a critical role in transforming care for our patients. Our customer service teams are the front line for physicians and patients navigating the system and, without our claims processing departments, our health plan partners and provider networks couldn’t do their jobs. No matter what your role is at agilon health, you can and will make a difference in the lives of the seniors and Medicaid populations we serve. Our culture and passion has already been embraced by nearly 500 employees in three states. And we are excited to welcome new members to the team as more physicians and patients experience the difference agilon health can make.

Address

Pittsburgh, PA
USA

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