Patient Care Specialist I

Monterey Park, CA, United States

Description

Job Title: Patient Care Specialist I *Hybrid*

Department: Quality - Clinical Operations

About the Role :

We are looking for a Patient Care Specialist I to join a team that is passionate about the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes by coordinating and delivering key clinical care. Through outreach and education, we inspire patients to take a preventive approach to maintaining their health and to be active in their management of chronic diseases. Together, we strive to achieve healthy living for all through all stages of life.

As a Patient Care Specialist I, you will follow up on post-visit instructions from clinical providers, send and request patient information for care coordination, and enter data for various programs. You will also need to communicate with patients regarding recommended services and provide relevant instructions in a caring, empathetic manner to help them achieve their health goals. You may also be asked to carry out other duties in support of department programs and goals.

What You'll Do :

Carry out post-visit instructions from our internal healthcare providers

Provide post-visit education and information to patients as needed

Create authorization requests for referrals to specialists and other services

Collect authorizations and medical records from various provider sources for proper documentation

Send reports or notes to other providers and confirm receipt

Conduct outreach calls to inform patients of recommended services

Schedule appointments for services with our internal team or external provider such as PCP

Input patient information accurately into electronic health record system

Assist with administrative tasks for the department, including, but not limited to: receiving incoming calls regarding department programs, sending faxes to providers, receiving and redirecting incoming fax, uploading files

If applicable, provide translation assistance to internal healthcare providers

Uses, protects, and discloses our company's patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.

Other duties may be assigned

Qualifications : Associate's Degree required

12+ months' experience in a customer service or outreach role

Experience working in healthcare/managed care environment, such as IPA, MSO, or health plan OR in health education

Experience using Microsoft applications such as Word, Excel, and Outlook

Equivalent combination of education and/or experience

Must be able to project a professional, pleasant image while interacting with a variety of personalities and cultures

Must demonstrate tact and diplomacy in interpersonal interactions

Should have strong communication and customer service skills and respect for confidentiality

Must have ability to plan, prioritize, and complete tasks

You're great for this role if you have : Bachelor's degree

Chinese (Cantonese and/or Mandarin) or Spanish bilingual

Experience with Medicare STAR Metrics and HEDIS Measures

Experience in clinical/medical settings

Experience using EHR systems

General understanding of medical conditions and specialties

Who We Are :

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers 10,000 physicians to provide care for ~1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values : Put Patients First

Empower Entrepreneurial Provider and Care Teams

Operate with Integrity & Excellence

Be Innovative

Work As One Team

Environmental Job Requirements and Working Conditions : Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis, after a 90 day in-office training period. The office is located at 568 W. Garvey Ave., Monterey Park, CA 91754.

The total compensation target pay range for this role is: $22.00 - $25.00 per hour. The salary range represents our national target range for this role.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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