*Please note*

• Opportunity: Direct hire, regular full-time
• Compensation: $22+/hour Negotiable depending on skills and experience
• Benefits: 15 days PTO, 8 paid holidays, Health / Dental / Vision, 401k and more!
• Training / Location: Las Vegas, NV
• Schedule: Monday through Friday, 40 hours a week, 7:30am - 4:30pm

Must…

• Be compassionate, detail-oriented, and organized
• Have 2 years' customer service experience
• Have high volume call center / member services experience
• Have 2 years’ experience medical assistant
• Have medical assistant certificate required

Apply directly by clicking or copy/paste into your browser: http://gr.8job.co/CwRVwO05

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 compassionate, customer-service, detail oriented, and organized Patient Navigator to provide outreach and support to ensure all our members have access to the care they deserve. As a patient navigator, you will navigate our members through their health care and benefits, and connect the dots between our provider network, health plan operations, and supplemental vendors. You will be alongside our members every step of the way to ensure they are never alone in their healthcare journey and have the highest level of coordinated care. Patient navigators are active members of the health care team, addressing immediate needs and laying the groundwork for future and ongoing member support. If you are a passionate and experienced healthcare professional who understands the meaningful contribution they make to our members’ healthcare outcomes, we're looking for you!

General Duties/Responsibilities

(May include but are not limited to):

• Conduct patient outreach for new, termed, and transitioned patients
• Ensure member has access to PCP and specialists to coordinate care
• Educate member on gaps in care and assist with scheduling provider appointments
• Serve as the patient's liaison throughout the life cycle of the program by addressing program specific quality measures and adhering to company guidelines / standard operating procedures
• Conduct patient welcome calls on date of notification of assignment and / or discharge
• Mail letters and correspondence as needed
• Make appropriate and timely patient appointments, reminders, and confirmations
• Place regular / consistent outreaches to the patient
• Prepare, communicate, and follow through on patient flagpole/escalation communications to management
• Communicate with PCP with any member updates and requests
• Assist with obtaining medical records from any healthcare providers involved in care or hospitals
• Help members with any authorizations and referrals involved in their care plan
• Resolve incoming calls concerning members’ eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member’s primary care physician and proactively engage member with their wellness plan options.

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:

• Medical front/back office experience.
• High-volume inbound customer service experience, particularly for health plan or Medicare “Member Services” roles in health plan and supplemental benefits preferred
• Telemarketing and/or member outreach experience preferred
• Specialized experience in escalation or resolution units preferred

Education/Licensure:

• High school diploma or general education degree (GED).
• Medical Assistant Certification required

Other:

• Knowledge of ICD-10 and CPT codes.
• Communication Skills: Strong communication skills via email and phone. Fluency in written and verbal Spanish, Korean, or Vietnamese, a plus.
• Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
• Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
• Computer Skills: Strong computer skills.
• Experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations

Other Skills and Abilities:

• Computer proficient
• Able to type minimum 40 words per minute (WPM) by 10-key touch.
• Excellent written and verbal communication skills.
• Excellent grammar and spelling.

Preferred:

• Bilingual English / Spanish
• Independently motivated self-starter who can prioritize work assignments and make every day a productive day
• Team player willing to help and support colleagues, and do their part to support us all reaching our organizational goals
• Natural “teacher” with the ability to learn plans and describe/explain/educate healthcare coverage and services to our members
• Genuine passion for customer service

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 $22.00 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
• 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!

Ability to commute/relocate:

• Las Vegas, NV 89128: Reliably commute or planning to relocate before starting work (Preferred)

Application Question(s):

• How many words per minute (WPM) are you able to type? (If you're not sure, you can check by taking a self test at https://www.typingtest.com/ and take the 1-minute, Medium Text assessment)

Education:

• High school or equivalent (Preferred)

Experience:

• Customer Service: 2 years (Preferred)
• Scheduling: 1 year (Preferred)
• Medical terminology: 1 year (Preferred)
• Medical Assistant: 2 years (Preferred)
• Member Services / Call Center: 1 year (Preferred)

Language:

• Spanish (Preferred)

License/Certification:

• Medical Assistant Certificate (Preferred)

Shift availability:

• Day Shift (Preferred)

Work Location: One location

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