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Customer Service Representative (Healthcare-Medicaid)

Physician Partners

Location: Tampa, FL 33602
Type: Full-Time, Non-Remote
Posted on: May 16, 2022
This job is no longer available from the source.
OUR CULTURE - 5 STAR SERVICE
At Physician Partners, we give you the power to transform lives.  Working together as a team to shape the future of healthcare, we are at the forefront of innovation and best practices to improve the health of our communities. Our team provides the platform, technology solutions and new health programs in a collaborative environment to our primary care providers with the sole purpose of achieving Better Health.  Our commitment, our passion and our culture sets us apart from others and is the cornerstone of everything we do. Our team settles for nothing less than a new and profoundly better way of delivering truly proactive health care rather than simply building a better version of the same old reactive sick care model that serves our communities today.
THE OPPORTUNITY
Our Health Coaches are based out of our Tampa office and work in a call center environment directly with affiliate physician offices to guide them on the delivery of high-quality, preventative healthcare to our members. You will collaborate with physicians and office teams to devise innovative solutions and improve the quality of healthcare delivery. You will leverage direct communication with patients and physicians, possess an incredibly caring attitude and utilize our in-house technology platforms to accomplish these goals.
As a Health Coach, you will collaborate and partner with patients, physicians, their office teams and other members of the Physician Partners team to promote timely access to appropriate care. Increased utilization of preventative care supporting reduced emergency room utilization and hospital re-admissions is the primary goal. Successful team members will increase care plan comprehension through culturally and linguistically appropriate education, and increase continuity of care by managing relationships with tertiary care providers and referrals while connecting patients to community resources.
KEY RESPONSIBILITIES
Health Coaches should be self-motivated and service oriented with optimal critical thinking and problem-solving skills. You will be contacting patients with complex care needs, encouraging and facilitating their Primary Care Physician visits and supporting our office with quality measures. Passion for health and preventative care along with a confident and determined results-driven attitude is a must. Our health coaches collaborate with other multi-functional teams to provide seamless outcomes for our clinics.
• Telephonic outreach to recently discharged patients; to assess patient needs and coordinate care
• Thorough interview of assigned patients regarding discharge instructions and plans to include: • Educating patients to call Primary Care Physician (PCP) for all truly non-emergent services
• Inquiring as to discharge planning and review of plan with Provider
• Encourage and schedule post-discharge medication reconciliation with Provider
• Review any dietary changes with Provider post-discharge
• Review any self-care planned ie: durable medical equipment, home care, wound care, etc.
• Assess patient at-home support system ie: caregiver or any persons identified as assisting them with any healthcare needs
• Establishing whether or not patient has advanced directives in place and accessible to Provider and family in case of need (encouragement to do so, if not)
• Obtaining status of seasonal vaccines
• Scheduling or confirming follow-up with Provider, ideally within 7 days of discharge
EDUCATION AND EXPERIENCE
• ·Preferred two+ years of clinical experience as a Medical Assistant or Research Assistant, or two+ years of Medical or Insurance Call Center experience
• Experience working with geriatric populations
• Preferred experience with EMR systems
• ·Exceptional interpersonal skills and caring demeanor
• ·Strong critical thinking and problem-solving skills
• ·Bilingual a plus, but not required
• ·Excellent ability to organize and follow-up
COMPENSATION & BENEFITS
We offer a compensation w/bonus and comprehensive benefits package:
• ·Medical, dental, vision, disability and life
• ·401k, with employer match
• ·Paid time off
• ·Paid holidays
Mid Level Employment Type: Full-Time