Carenet Health

Customer Support

• Spend your day reaching out to health plan members, guiding them toward scheduling their care assessments
• Provide encouragement to members to take the next step in their healthcare
• Handle fast-paced calls and ensure goal achievements

Bilingual Healthcare Customer Service Representative

General

• The Care Advisor is a licensed Registered Nurse providing telephonic clinical assessments, health education, and utilization management services.
• Provides triage assessments to individuals or defined patient populations using telecommunications, in accordance with protocols and guidelines.
• Uses critical thinking and effective communication to assess, disposition, make recommendations for care, and provide education.

Registered Nurse, RN

• Provide compassionate, accurate, and timely support to patients by scheduling, confirming, canceling, and rescheduling radiology appointments.
• Serve as a primary point of contact for patient imaging needs within a high-volume contact center environment.
• Handle complex patient interactions requiring independent reasoning, prioritization, and problem solving.
• Schedule, confirm, cancel, and reschedule radiology appointments across multiple modalities.
• Accurately document all patient interactions, updates, and outcomes in designated systems.
• Serve as a knowledge resource for patients by addressing questions regarding imaging procedures.
• Confirm and document insurance information according to established guidelines.
• Review and validate imaging orders and recommendations; coordinate with providers and clinical partners as needed.
• Make outbound calls to schedule, follow up, or resolve imaging appointment needs.
• Comply with HIPAA, confidentiality requirements, call center metrics, and organizational policies.

Radiology Scheduler

• Receive and respond to prescription refill requests through various communication channels, including phone, email, fax, and Telephone Encounter.
• Verify the validity and accuracy of prescription refill requests received, ensuring compliance with regulatory guidelines.
• Prepare and dispense prescription refills accurately and efficiently, following established organizational protocols and procedures.
• Demonstrate exceptional customer service skills when interacting with internal and external stakeholders, providing clear and comprehensive information.
• Compile and analyze data to track key performance indicators related to prescription refill processing, presenting findings to departmental leadership, and identifying trends.
• Adhere to assigned schedules and quality metrics, maintaining productivity and efficiency in prescription refill processing.
• 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.

Bilingual Healthcare Customer Service Representative

Registered Nurse, RN

Radiology Scheduler

Certified Medical Assistant