Clinical Support Specialist

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🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

💵 $41.2k - $66k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

💝 Customer Support

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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CareSource

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CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Field lab-related questions from lab vendors, patients, and providers • Respond to patient calls regarding test results, prescriptions, and other non-urgent clinical matters • Monitor and respond to the Clinical Support email inbox and escalate to the nursing team as indicated • Cross-train as a Mobile Health Coordinator to conduct intakes and process referral requests • Review, validate, and process medical records requests from patients • Send instED visit notes to patients’ PCPs and other pertinent care providers • Connect PCPs to clinicians when necessary • Conduct follow-up phone calls to patients after instED visits as directed by nurses and providers • Manage administrative aspects of the Athena clinical inbox • Follow up on safety concerns reported by the mobile health provider workforce • Maintain knowledge of community resources in Massachusetts • Initiate and facilitate patient referrals to community organizations and primary care providers in health plan networks • Provide daily administrative support to Clinical Resource Center nurses • Coordinate follow-up care with external care teams as directed by Virtual Medical Control providers • Transfer or escalate issues to licensed independent practitioners as appropriate • Document and report successful and unsuccessful patient outreach • Participate in quality and process improvement initiatives • Perform other job-related duties as requested

🎯 Requirements

• High School or GED required • Completion of a Medical Assistant, Community Health Worker, or similar training program required • Two (2) years of working in a health care setting as a Medical Assistant, Community Health Worker, or similar position required • Proficient knowledge of medical terminology, including health insurance terms and concepts • Proficiency in Microsoft Office Suite – Outlook, Word, Excel, Teams • Competence working within an electronic medical record • Ability to maintain strict confidentiality handling sensitive medical information • Ability to provide compassionate customer service • Ability to recognize and escalate urgent or emergent issues timely • Familiarity with preferred methods of communication and telecommunications guidelines • Ability to navigate social and community services • Data analysis and reporting • Bachelor's degree preferred • Experience reviewing and responding to ADT data from health plans preferred • Certified Medical Assistant preferred • Bilingual/bicultural Spanish • Motivational interviewing

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Employee well-being support

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