
1001 - 5000 employees
Founded 1988
🏥 Healthcare
📡 Telecommunications
⚕️ Healthcare Insurance
Healthcare • Telecommunications • Healthcare Insurance
Carenet Health is a leader in the transformation of healthcare consumer engagement, specializing in closing gaps in care, telehealth, and advocacy. With over 25 years of experience, the company utilizes advanced technology and insights to provide tailored solutions to healthcare providers and payers, helping them meet consumer needs effectively. Their services encompass personalized health advocacy, care management, and consumer engagement, ultimately aiming to improve healthcare outcomes and patient experiences.
🔥 3 minutes ago
🗣️🇪🇸 Spanish Required
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1001 - 5000 employees
Founded 1988
🏥 Healthcare
📡 Telecommunications
⚕️ Healthcare Insurance
Healthcare • Telecommunications • Healthcare Insurance
Carenet Health is a leader in the transformation of healthcare consumer engagement, specializing in closing gaps in care, telehealth, and advocacy. With over 25 years of experience, the company utilizes advanced technology and insights to provide tailored solutions to healthcare providers and payers, helping them meet consumer needs effectively. Their services encompass personalized health advocacy, care management, and consumer engagement, ultimately aiming to improve healthcare outcomes and patient experiences.
• Receive and respond to prescription refill requests through phone, email, fax, and Telephone Encounter • Verify the validity and accuracy of prescription refill requests in compliance with regulatory guidelines • Prepare and dispense prescription refills accurately and efficiently according to organizational protocols • Provide exceptional customer service to internal and external stakeholders • Compile and analyze data, track key performance indicators, present findings to departmental leadership, and identify trends • Adhere to assigned schedules and quality metrics while maintaining productivity and efficiency • Provide administrative support to clinical staff and managers for special projects, studies, and reports related to medication refill programs • Collaborate with interdisciplinary teams to optimize workflow efficiency and enhance patient care outcomes • Communicate with bilingual patients, physicians, and pharmacists regarding prescription refills
• Minimum of High School Diploma or GED • Minimum of three years’ experience in a retail pharmacy • Extensive knowledge of Medicare Part D, particularly pharmacy record review, claims, billing and reimbursement rules • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements • Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies • Proficient bilingual language skills—read, write, and speak Spanish and English • Basic PC and keyboarding skills • Working knowledge of Microsoft Office, Internet and e-mail • Current, unrestricted license required • Medical Assistant must be certified by the American Association of Medical Assistants or be a Registered Medical Assistant by the American Medical Technologists • Ability to read, analyze, and interpret company software, guidelines, health references, professional journals, technical procedures, or governmental regulations • Ability to effectively present information and respond to questions • General writing skills and ability to produce work free from typographical or spelling errors • Ability to calculate figures and amounts and apply concepts of basic algebra • Ability to deal with and solve problems using solid judgment skills
• Health, dental, and vision insurance • A 401(k) plan with company match • Paid time off (PTO) and holidays • Flexible spending accounts (FSAs) • Employee wellness programs • Career development opportunities • Remote, work from home position
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