• Support initiatives to resolve gaps in care through direct provider and member outreach, collaboration with provider engagement, and leveraging our pharmacy network capabilities • Ensure that all recommendations are consistent with the latest guidelines or otherwise supported by the clinical compendia • Provide clinical pharmacy support to pharmacy technicians as they conduct outreaches to members regarding med adherence, resolve existing barriers to adherence, and use motivational interviewing to improve health of our members • Collaborate internally with Marketing, IT, and Enterprise Analytics to assist with the creation of strategic digital communication channels for member outreach • Identify and resolve same-day grievances reported by members in a timely manner consistent with our policies and procedures • Oversee and maintain compliance with all State and Federal agencies • Precept Pharmacy Residents and Students • Ensure all clinical criteria is in compliance with Center of Medicare and Medicaid Services (CMS) and the New York State Department of Health (NYSDOH)

• Document new patient and referral intake • Manage appointment bookings, cancellations, and rescheduling for patients and healthcare providers. • Input patient information, medical records (CPT, ICD-10, HCPCS), and billing date into EMR/EHR systems • Assist with processing insurance claims, verifying patient insurance information, and handling billing inquiries, concerns, and documentation. • Respond to incoming patient inquiries, providing information and directing them to the appropriate healthcare professional. • Assist in analyzing healthcare data, preparing reports, and maintaining records. • Ensure HIPAA compliance, privacy regulations, and maintenance of patient confidentiality. • Coordinate the sending of medical records to various departments, healthcare providers, and professionals as directed by the Managing Physician. • Take medical Notes

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This is a full-time remote position as an English-Spanish Experienced Medical Interpreter in a Blended (OPI & VRI) environment. The medical interpreter will be responsible for providing accurate consecutive interpretation services over the phone and via video between English and Spanish in medical, social services, customer service, and financial settings. The role involves facilitating communication between healthcare providers and patients to ensure effective understanding and care. Qualifications - Medical, customer service, social services, and financial calls interpretation skills - Knowledge of medical terminology - Fluency in English and Spanish - Remote interpretation experience in both languages is mandatory - Excellent communication and listening skills - Relevant certification in medical interpretation or a related field - HIPAA compliance Requirements - Ethernet connection (must be connected directly to the router via cable); Wi-Fi is not allowed - Noise-canceling microphone and USB headset. Only the following brands are accepted: Logitech H390, Jabra GN, Plantronics Blackwire C3220(Poly), and Microsoft Lifechat LX-6000 - Browser: Latest version of Chrome, Safari, Edge, or Firefox - Processor: i5 or higher, 6th generation or newer - Camera: Minimum resolution of 1080p - Full-time availability, 5 days a week (2 days off) Benefits - Pay per available hour (whether you are on a call or not, the hour is paid) - Work from home (remote) - Excellent work environment - Opportunities for growth - Start date: January 2026

• Review emails and chats constantly for new leads, file setups, audits, or other requested needs. • Organize contracts, termination letters, photos, and other documents on Dropbox. • Answer all the inbound calls, clients, and leads with great customer service skills. • Transfer calls to the right member of the team when needed. • Set up Filevine projects for new clients or the tools requested. • Register all the comments, observations, and updates. • Review and look for new contracts to be registered into Filevine. • Follow up on the leads assigned, ensure a great quality interaction, and clean up the old leads. • Answer new potential clients, ask probing questions, and follow the process to complete the sign-in or escalate the call to an Intake Specialist. • Complete the intake process of a new client to be transferred to the Pre-Litigation department. • Send the submission emails to the Pre-Litigation department for new clients to start the case (notification). • Complete clinic referrals, taking into consideration the client's location. • Participate in stand-up meetings, dailies, weeklies, and monthly meetings. • Close contracts.