
501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
🛡️ Insurance
🏥 Healthcare
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
🕒 July 3
🇺🇸 United States – Remote
💵 $41.5k - $62.2k / year
⏰ Full Time
🟢 Junior
💬 Bilingual
🚫👨🎓 No degree required
👻 Ghost score 55%
Where this job comes from
Posted on Alignment Health's careers page, not through a job board
First seen by Remote Rocketship July 3
Still open on Alignment Health's site. Checked 3 hours ago.

501 - 1000 employees
Founded 2013
⚕️ Healthcare Insurance
🛡️ Insurance
🏥 Healthcare
💰 $135M Series C on 2020-03
Healthcare Insurance • Insurance • Healthcare
Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.
• Reach out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, provider appointments and follow-ups • Create cases and tasks and complete documentation in the case management module for hospital and skilled nursing facility (SNF) discharges • Comply with and document tasks assigned by the nurse • Work with the case manager to engage and manage a panel of members • Manage new alerts and update the case manager on changes in condition, admissions, discharges, or new diagnoses • Establish relationships with members, earn their trust, and act as patient advocate • Escalate concerns to the nurse if members appear non-compliant or there is a change in condition • Assist with outreach activities to members in all levels of case management programs • Assist with maintaining and updating members' records • Assist with mailing or faxing correspondence to members, primary care physicians, and specialists • Request and upload medical records from PCPs, specialists, hospitals, and others • Meet specific deadlines and prioritize tasks according to department policies, standards, and needs • Maintain confidentiality of information among health care professionals • Perform other duties assigned by the case manager supervisor, manager, or director of care management
• Minimum (1) year experience working in health care such as health plan, medical office, Independent Practice Association (IPA), Management Services Organization • Minimum (1) year experience assisting members / patients with authorizations, scheduling appointments, identification of resources, etc. • High School Diploma or GED • Bachelor's degree or four years additional experience in lieu of education preferred • Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals • Able to write routine reports and correspondence • Communicate effectively using customer relations skills • Able to communicate positively, professionally, and effectively with others; provide leadership, teach, and collaborate with others • Effective problem solving, organizational and time management skills and able to work in a fast-paced environment • Knowledge of Managed Care Plans • Knowledge of Medi-Cal • Basic computer proficiency • Type a minimum 35 words per minute (WPM) • Proficient in Microsoft Office suite (Outlook, Excel, Word) • Able to perform basic mathematical operations using American money and weight measurement, volume, and distance • 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 • Bilingual English and Spanish preferred • Medical assistant training and medical terminology training preferred • Medical assistant certificate and medical terminology certificate preferred • Work Monday-Friday, 8:00 AM-5:00 PM Pacific Time • Must work remotely from anywhere in the U.S.
• Remote work • Opportunity for growth and innovation
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