Certified Medical Assistant
: Job Details :

Job Summary:

• Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.

Job Responsibilities:

• Conducting educational telephone calls advising members of available benefits, services, and programs; completes health. needs assessment, and refers members to population health management programs as appropriate.
• Reaching out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
• Managing system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.
• Facilitating research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries.
• Work overtime as needed.
• Various immunizations and/or associated medical tests may be.

Qualifications:

• All applicants will be advised that Client, as a federal contractor, may be required to implement a COVID-19 vaccine mandate.

Education:

• Associate degree in, education, communication, or health related field or equivalent work experience.

Experience:

• 2 years - Experience in a customer service support role is required.

Skills/Certifications:

• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability.
• Proficient interpersonal and organizational skills.
• Independent, Sound decision-making and problem-solving skills.
• Must be able to work in an independent and creative manner.
• Self-motivated and able to manage multiple tasks and set priorities.
• Effective time management skills.
• Excellent oral and written communication skills.
• Strong interpersonal and organizational skills.
• Knowledge of Medical terminology.