Assess, plan, and advocate for the patient’s health needs.• Serve as the day-to-day member point of contact for multiple employer companies likeWalmart, Amazon, ATT, etc.• Guide members to understand their benefits and insurance plans.• Support members in healthcare navigation, benefits routing, and virtual care support.• Schedule/cancel DOD appointments as needed.• Create case claims via billing errors and referrals for care as needed.• Inbound/chat support/IT support• Created support service tickets and used web-based ticketing systems to track and deliver services

• Established and maintained an accurate team member schedule on a daily and monthly basis, adjusted need based upon census and staffing requirements.• Monitored and tracked attendance for all team members and conveyed violations and requests for employment status changes.• Maintained and provided team member schedule and assignments on a weekly basis.• Update and adjust schedule based upon fluctuating census, regulatory requirements, planned and unplanned team member absences.• Track and inform assigned lead of tardiness, unplanned absences, requests for planned time off and requests for change in scheduled hours.• Perform other administrative duties as assigned/actively updating the nurses/cna’s board.• Comply with applicable federal, state and local laws, rules, and regulations; maintain knowledge of and follows all company policies and procedures.• Actively participated in concierge duties• Maintain regular and punctual attendance at work and stand up/stand down meetings.

Interviewed prospective clients to gather information on financial needs and discuss existing coverage. • Communicated with clients by phone and email to answer questions and offer services.• Made appointments with potential clients to discuss products.• Offered information about policy and coverage details.• Closed sales on new policies by presenting insurance options to customers accurately and efficiently. Completed welcome calls to ensure the members understand their policy and to assist with follow up questions.

Determined the appropriate site for post-acute care.• Provided support and coordination for patients and their families throughout care transitions.• Communicated with Skilled Nursing Facilities (SNFs), Home Health, Home DME agencies.• Completed authorization edits and issued authorizations to providers.• Completed wellness check to patients being released from the hospital.• Responsible for receiving and responding to incoming calls from providers, referral sources and potential patients by collecting and entering clinical and demographic information into our Care Centrix portal.• Scheduling appointments and updating patient information using EMR system

Determined the appropriate site for post-acute care. Provided support and coordination for patients and their families throughout care transitions. Communicated with Skilled Nursing Facilities (SNFs), Home Health, Home DME agency’s . Completed authorization edits and issued authorizations too providers . Completed wellness check to patients being released from the hospital . Responsible for receiving and responding to incoming calls from providers, referral sources and potential patients by collecting and entering clinical and demographic information into our CareCentrix portal

Advocating (communicating with Doctors and Nurses) for patients in the health home department program.• Assist with medical, social, and mental needs.• Assist in providing food, transportation, and housing.• Inbound/chat• Provided IT support services, troubleshooting, and system operations to members. • Document all encounters with the patient, medical staff, or family members in RMA. • Updating patient assessments and care plans (yearly and every 3 months)• Visiting patients at their homes, hospital etc. as needed

Recorded and filed patient data and medical records• Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate insurance• Strictly followed all federal and state guidelines for release of information.• Directed patient flow during practice hours, minimizing patient wait time.• Prepared prescription refill requests on behalf of the pharmacist.• Carefully reviewed medical records for accuracy and completion as required by insurance companies. • Provided administrative support for the pharmacist• Accurately entered medication codes, diagnosis codes and patient information as required by insurance• Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information

Process refill written requests for prescriptions• Check for prescription accuracy, fill and label bottles• Assist customers by responding to questions and problems• Take phone calls and provide information for insurance companies• Identifying Correct medicines and fill prescriptions in a timely manner• Transcribing written prescriptions into computer• Maintaining pharmacy inventory and prescription files

Cashier duties• Filling prescriptions at patients request • Process written prescriptions• Manage insurance problems/claims• Assist in maintaining work area