Job Description

Description

Serves as the single point of contact to internal and external customers to ensure easy and seamless access to physicians, employees, patients, programs and services.

Handles complex requests through various channels while utilizing numerous databases simultaneously. Communicates via written correspondence to patients and physicians on a daily basis.

Provides appropriate and clinically relevant information and facilitates requests within the designated timeframes based on clinical urgency as defined per protocol.

Maintains knowledge of emergency procedures and ensures proper notification. Assures database compliance and integrity.

Education

High School Diploma or Equivalent (Required)

Bachelors Degree : in Marketing, Communications or Healthcare. (Preferred)

Combination of relevant education and experience may be considered in lieu of degree.

Experience

2 Years experience in customer service. (Required)

General Experience communicating in Spanish (Bilingual) (Preferred)

General Experience in a managed care and insurance, physician practice or call center environment (Preferred)

It takes great medical minds to create powerful solutions that solve some of healthcares most complex challenges. Join us and put your expertise to work in ways you never imagined possible.

We know youve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, youll have the opportunity to work more flexible hours.

And working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

The Pharmacy Supervisor is responsible for managing a team of pharmacy technicians to decision prior authorizations and answer phone calls for the Ohio Department of Medicaid (ODM).

The supervisor will also be responsible for coaching, training, and monitoring the performance of the team to ensure they meet performance standards and company expectations.

Your role in our mission

• Lead and manage a team of pharmacy technicians to ensure exceptional service and compliance with service level agreements.
• Monitor call center performance metrics, identify areas for improvement, and optimize service delivery and customer satisfaction.
• Maintain a high level of knowledge about the Ohio Department of Medicaids prior authorization policies, and provide accurate and up-to-date information to staff and customers.
• Develop, review, and implement policies and procedures to improve call center operations' efficiency and effectiveness.
• Provide timely resolution of customer complaints and disputes, and escalate issues as necessary.
• Ensure HIPAA and Government security requirements compliance for all processes related to PHI sharing and storage, decision prior authorizations, and day-to-day operations.

What we're looking for

• Hold certification as a pharmacy technician with pharmacy experience
• Possess PBM (pharmacy benefit management) experience and knowledge of prior authorization processes
• Have proven experience as a call center supervisor or manager with strong leadership and people management skills
• Ability to analyze data, identify trends and make recommendations for improvements, and handle multiple tasks and priorities effectively

What you should expect in this role

• 100% remote work experience
• In order to effectively work as a teleworker with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.

Greater speeds will of course provide better performance.

To Test your internet download and upload speed :

Go to

Search for Internet Speed Test or click .

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The pay range for this position is $48,400.00 - $69,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.

All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Job Description

This is a remote position.

The Call Center Agent will be answering inbound calls, converting them to leads, and later to towing jobs.

DUTIES AND RESPONSIBILITIES :

1. Responsible for managing a whole lot of incoming and outgoing calls in the operations.

2. Identify the needs of client and find solution to it.

3. Answering inbound calls, converting them to leads, and later to towing jobs.

WORKING CONDITIONS : 1. Remote

1. Remote

2. Shift-based in a Call Center that works 24 / 7.

3. Pacific Time Zone

4. Weekly Payout

Requirements

SKILLS AND QUALIFICATIONS :

1. Able to remain calm, composed, and professional even under pressure

2. Good English (grammar, speaking, conversational)

3. Knows how to use Google Maps

4. Fast typing skills

TECHNICAL & PHYSICAL REQUIREMENTS :

1. High speed and stable internet connection

2. A modern laptop / desktop with a working headset and mic (Minimum of I-5 generation 10 for processor and 12GB RAM)

3. Super important a quiet place to work, without any background noises

4. Power back up and internet back up is a MUST.

Requirements

SKILLS AND QUALIFICATIONS : 1. Able to remain calm, composed, and professional even under pressure 2. Good English (grammar, speaking, conversational) 3.

Knows how to use Google Maps 4. Fast typing skills TECHNICAL & PHYSICAL REQUIREMENTS : 1. High speed and stable internet connection 2.

A modern laptop / desktop with a working headset and mic (Minimum of I-5 generation 10 for processor and 12GB RAM) 3. Super important a quiet place to work, without any background noises

Call Center / Customer Service Position - PAY RATE $19 / HR

Must be willing to take a typing and phone etiquette test - will be required

Job Description :

Call Center Representative will be assisting customers with the transition to a new billing software which produces a new look bill.

Will help customers to read bills, reset paswords, understand charges.

Requires a high school diploma or equivalent and 4-6 years of experience in the field or in a related area.

Has knowledge of commonly-used concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job.

Works under immediate supervision. Primary job functions do not typically require exercising independent judgment. Typically reports to a supervisor or manager.

Minimally, trainees must be able to :

1) Type proficiently (45 WPM minimum)

2) Pass a basic computer literacy test to demonstrate fundamental commands like using Ctrl / Alt / Delete to lock a screen, use of copy / paste, proficient in Word or OneNote for note taking, etc.

3) Pass a basic phone etiquette test.

4) Demonstrate high-school level literacy, reading comprehension, and math skills (to calculate billing balances.)

5) Demonstrate ability to learn quickly and can retain information that is learned

IND123

Planned Parenthood Southeastern Pennsylvania is the local affiliate of the country's leading sexual and reproductive health care advocate and provider.

Planned Parenthood Southeastern Pennsylvania operates 10 health centers throughout Chester, Delaware, Montgomery, and Philadelphia counties.

Nationwide, Planned Parenthood affiliates operate more than 600 health centers, providing medical services and sexuality education for millions of individuals (adults and teens) each year.

We also work with allies worldwide to ensure that all people have the right and the means to meet their sexual and reproductive health care needs.

Be part of the diverse and inclusive Planned Parenthood family and join us as a Call Center Representative. We currently have an On-Call (per diem) position available.

EPIC knowledge is preferred. The salary range for this position is $15.75 / hour to $16.75 / hour based on training and experience.

• Candidates must have a high school diploma or equivalent. Must possess exhibit strong attention to detail and follow-up with ability to multi-task in a fast-paced environment;
• possess excellent organization skills, strong verbal and written communication skills, strong interpersonal, time-management, and problem-solving skills;

be proficient in use of Microsoft Office 365 Software; and possess a demonstrated dedication to Planned Parenthood's mission, vision and values.

Please include a copy of your resume and cover letter with your application.

Planned Parenthood Southeastern Pennsylvania (PPSP) is an equal employment opportunity employer. We comply with all applicable laws prohibiting discrimination based on race, color, religion, gender and gender expression / identity, age, ethnicity, national origin, ancestry, physical or mental disability, uniformed service member / veteran status, marital status, medical condition, pregnancy, sexual orientation, citizenship status, genetic information, as well as any other category protected by federal, state, or local laws.

We are fully committed to building a workplace that values racial and social justice. We strongly encourage all persons to apply, including people of color and members of the LGBTQ+ community.

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