*Please note*

• Opportunity: Direct hire, regular full-time
• Compensation: $18+/hour Negotiable depending on skills and experience
• Benefits: 15 days PTO, 8 paid holidays, Health / Dental / Vision, 401k and more!
• Training / Location: Remote based in California (or able to work Pacific Time)
• Schedule: Monday through Friday, 40 hours a week, 8a-5pm Pacific Time

Must…

• Have 1+ years medical assisting experience (front office preferred)
• Have experience with referrals and prior authorzation
• Be detail oriented, organized, patient-focused, and compassionate
• Be able to type a minimum of 40 words per minute (WPM)
• Have high speed internet
• Have dedicated, private, quiet space to work with minimal distractions

Apply directly by clicking or copy/paste into your browser: http://gr.8job.co/ymugtvyf

Alignment Health was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment Health is committed to transforming healthcare one person at a time.

When you become a part of the Alignment Health team, you get to provide members with the quality care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation within Alignment Health .

Alignment Health is seeking a passionate, highly motivated, and detail-oriented care coordinator (front office medical assistant) for a remote opportunity based in California to join the Care Anywhere team. As a care coordinator you will be handle utilization management and case management coordinator responsibilities for the Care Anywhere team as defined below.

General Duties/Responsibilities (May include but are not limited to):

• Review Daily Census for new Admissions
• Obtain medical records from Provider offices, hospitals and SNF’s
• Attach medical records to authorizations
• Enter referral requests/authorizations in system
• Monitor Fax Folders
• Monitor task lists in EHR
• Creates cases and tasks in Case Management module for Hospital and SNF discharges.
• Post discharge scheduling of appointments
• Follow up scheduling and re-scheduling of no-show appointments
• Assist NP team with visit preparation needs
• Appointment reminders to members
• Assign members to NP in EHR
• Enter all medications and allergies in EHR
• Provide needed documentation to NP for visits each day
• Direct inbound calls from members/family related to medication refills
• Assist in Hospice Enrollments
• Complies with tasks assigned by nurse and, as appropriate, documents accordingly.
• Maintains documentation on members contacted.
• Assists with COC’s
• Notifies NP/nurse If members appear to be non-compliant or there appears to be a change in condition
• Assists with outreach activities to members in all levels of Case Management Programs.
• Assists with maintaining and updating member’s records
• Assists with mailing or faxing correspondence to PCP’s, Specialists, related to, as needed.
• Assists with mailing correspondence to members, related to CCIP activities, as needed.
• Attends Case Management presentations and participates, as appropriate.
• Recognizes work-related problems and contributes to solutions.
• Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs).
• Works with outside vendors to provide appropriate care needs for members
• Maintains confidentiality of information between and among health care professionals.
• Other duties as assigned by CM Manager or Director of Case Management.
• Communication with multidisciplinary teams
• Covering for other team members when needed (i.e. PTO, sick time)

Supervisory responsibilities:

N/A

Minimum Requirements:

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.

Minimum Experience:

• Minimum 1 year front office medical assistant, related experience, and/or training; or equivalent combination of education and experience.
• Experience entering referrals and prior authorizations (highly preferred)

Education/Licensure:

• High school diploma or general education degree (GED)
• Medical Terminology Certificate preferred

Other:

• Knowledge of medical terminology
• Knowledge of ICD9 and CPT codes
• Knowledge of Managed Care Plans
• Computer proficient
• Able to type minimum 40 words per minute (WPM)
• Proficient in Microsoft Office (Outlook, Excel, Word)
• Bilingual English and either Spanish or Vietnamese required.
• Knowledge working in Access Express/Portal, Epic, Essette (not required)
• Good written, verbal, and telephonic communication skills
• Language Skills: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Able to write routine reports and correspondence. Communicates effectively using good customer relations skills.
• Mathematical Skills: Able to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s. Able to perform these operations using units of American money and weight measurement, volume, and distance.
• Reasoning Skills: Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations.
• Good organizational skills
• Able to reason and carry out instructions.
• Good interpersonal skills.
• Read, write, and speak English fluently.
• File systematically.

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.

Essential Physical Functions:

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.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Opportunities:

• Careers: http://bit.ly/AHC_Career

Learn more about us:

• Our Vision: http://bit.ly/AHC_OurVision
• Newsroom: http://bit.ly/AHC_Newsroom
• CareAnywhere: http://bit.ly/AHC_CAW
• 24/7 Access to Care: http://bit.ly/AHC_247_AccesstoCare
• Why Join the Clinical Team: http://bit.ly/AHC_ClinicalTeam
• Vivify - Home Health Monitoring: http://bit.ly/AHC_VivifyHomeHealth
• Access On-Demand Concierge: https://bit.ly/ACCESSConcierge

Read about our exciting growth:

• Forbes: http://bit.ly/AHC_Forbes
• BusinessWire: http://bit.ly/AHC_BusinessWire
• Alignment's Website: http://bit.ly/AHC_Expansion

Follow us on:

• LinkedIn: http://bit.ly/Alignment_LinkedIn
• Instagram: http://bit.ly/AHC_Instagram
• Facebook: http://bit.ly/AHC_Facebook

Job Type: Full-time

Pay: From $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Referral program
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

COVID-19 considerations:
Alignment Healthcare is committed to taking the precautions necessary to ensure we provide a healthy and safe work environment for our employees. We are conducting pre-screens daily, providing masks, hand sanitizer, protective barriers, and more!

Application Question(s):

• Are you able to provide proof of internet connection (Yes or No)?
• Do you have a dedicated, private, quiet space to work with minimal distractions?
• How many words per minute (WPM) are you able to type?

Education:

• High school or equivalent (Preferred)

Experience:

• Microsoft Office (Word, Excel, Outlook): 1 year (Preferred)
• Scheduling: 1 year (Preferred)
• Medical Assistant: 1 year (Preferred)
• Referrals: 1 year (Preferred)
• Prior Authorization: 1 year (Preferred)

Language:

• Spanish (Preferred)
• Vietnamese (Preferred)

Shift availability:

• Day Shift (Preferred)

Work Location: Remote

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