Sign In
 [New User? Sign Up]
Mobile Version

Care Team Associate --Call Center-- WellMed-- San Antonio, TX

UnitedHealth Group


Location:
San Antonio, TX
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1782995
Apply on the Company Site
  •  
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details


Care Team Associate --Call Center-- WellMed-- San Antonio, TX(Job Number:728999)
Description

As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm)
 
The Care Team Associate (CTA) will effectively support the successful implementation and execution of all pharmacy programs and processes.  The Care Team Associate will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. The Care Team Associate will be responsible for determining eligibility of members applying for the Medical Assistance Program (MAP). This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.
 
Primary Responsibilities:
  • Receives and responds to escalated pharmacy inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax
  • Coordinates and assists initial screening of MAP enrollment requests via all communication venues; as well as administrative preparation for clinical staff
  • Conducts in-bound and out-bound calls for program requirements including, but not limited to: patient scheduling, surveys / screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients
  • Initiates the process of granting, modifying, denying, or terminating assistance, or referring applicants to other agencies for assistance
  • Collects and maintains eligibility information in an appropriate and confidential manner
  • Interviews applicants by phone for program requirements
  • Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly
  • Exhibits excellent phone and communication skills while providing complete and accurate information to customers
  • Requests additional or supplemental information via correspondence in order to complete applications
  • Adheres to assigned schedule and quality metrics
  • Uses a multi-lined telephonic system to answer calls regarding eligibility requirements
  • Maintains abreast of program qualifications in order to troubleshoot problems that may arise during the eligibility process
  • Completes calls / assignments and ensures census management, productivity weekly and monthly standards are met
  • Provides clerical and / or administrative support to clinical staff and managers for special studies, projects and reports
  • Provides excellent customer service by serving as a resource to all internal and external customers
  • Attends required meetings and participates in special committees as needed
  • Performs other duties as assigned
Please note: This is an office based position located off of Northwest Parkway in San Antonio, TX. The office hours rotate M-F 8 am - 5 pm and 9 am - 6 pm. 4 hour Saturday shift every 12 weeks is required.

Job Clinical Admin & Processing
Primary Location US-TX-San Antonio
Other Location 
Organization WellMed Medical Mgmt, Inc
Schedule Full-time
Number of Openings 1
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Powered By

Featured Jobs[ View All ]

Featured Employers [ View All ]