JOIN A LEADING HEALTHCARE COMPANY Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is searching for a New Services Coordinator (Pharmacy Technician) to join its team in Smyrna, GA. Monday-Friday, 8:30am-5:30pm, work from home after 90 days! This position is primarily responsible for managing the initial prescription fulfillment process from inception to delivery by compiling and maintaining patient data to document patient’s prescription profile, conditions and treatment. Specifically, the New Services Coordinator will contact the new patients by phone to review the patient’s medications, shipment dates, allergies, medical conditions, etc. and set expectations regarding Curant Health services. Responsibilities - Provide a superior patient experience by providing pharmacy customer service to newly enrolled patients - Make outgoing initial enrollment calls to newly enrolled patients daily - Accurately document patient information into the pharmacy software and/or enrollment system (Medplan) - Generate initial paperwork for Patient Care Coordinators to present to pharmacy department for fulfillment and shipping - Document all pertinent information on patient communications - Refer patients or patient's caregiver to other community resources as needed - General administrative support as assigned by manager - Provide backup support to team members as needed Qualifications - Required to be registered as a Pharmacy Technician in Georgia - Minimum of 1 year Pharmacy Technician experience preferred - High school diploma or equivalent Why Work for Us? We offer competitive pay, paid holidays, benefits, paid time off, and a work/life balance. Not only that, but we also offer paid parental leave, recognition programs, promotion opportunities, a comprehensive training program to enhance your career, and employee prescription discounts. Our Core Values consist of ICARE; Integrity, Communication, Accountability, Relationships and Excellence, and we take pride in you embodying those traits. Curant Health is an equal opportunity employer.

Job Overview This remote position is responsible for providing MHealth Fairview patients with an understanding of the billing and insurance processing of their healthcare services through the inbound call center. The CSC Representative will counsel patients on financial solutions available to them either through direct payments, payment plans, or screening for qualification for assistance programs. The CSC Representative will manage both hospital and physician accounts in all systems and understand in depth the Registration, Hospital Billing, and Clinic Billing functions that are necessary to resolve accounts. They will also be well-versed in collection practices, understanding of the Attorney General Requirements, and able to liaison with bad debt vendors when needed. They will have detailed knowledge of the functions within the Revenue Cycle and how they interact in the life of a patient account. Responsibilities - Maintains the best practice routine per department guidelines: - Handle calls presented to CSC through the automated call distribution system accurately and efficiently. - Work independently in problem solving with patients regarding their accounts in both hospital and clinic billing situations. Counsel the patient on the complexity of the interdependency between hospital and physician billing within the patient’s continuity of care. - Able to handle each call with compassion, service, dignity and integrity in mind as aligned with MHealth Fairview's values - Timely processing of patient/insurance requests for follow-up of payment research, checking charges, coding review, insurance processing concerns, etc. - Identifies when callers need to be referred to insurance specialist or escalation staff for further assistance. - Notifies patient and/or guarantor of self-pay balances co-pays/deductible/coinsurance, etc. - Understands and adheres to Revenue Cycle’s Escalation Policy. - Contributes to the process or enablement of collection of expected payment. - Meet department goals and maintain productivity while working remotely. - Manage accuracy of accounts to ensure appropriate billing and compliance with patient privacy and data integrity: - Timely and accurate work - Verifies insurance benefits to maximize reimbursement. - Assists customers regarding billing questions and ensures appropriate resolution of problems. Explain and interpret eligibility rules and regulations or identify other resources available for financial assistance. Identify patients who may be eligible for financial exceptions. Keep updated on changes with regulatory issues. - Validate patient data is accurate and authorization is in place to provide information. - Uninsured accounts reviewed and managed to include validation that uninsured discounts have been appropriately applied, and all payment sources available to the patient have been explored. - Bad debt management of accounts and interactions with vendors. - Counsel patients throughout the collection process on solutions available to them for account resolution. - Problem solves with vendors and patients on reasonable resolutions. - Identify patients with financial need. Required Qualifications - 2 years customer service experience - This individual should have strong interest in learning new IS systems (PASS, Deloitte overlay system, Healthworks, etc) as well as the ability to work independently Preferred Qualifications - Associate of Arts - 2 years in healthcare customer service - 3 years experience in a hospital or clinic business office - Previous call center experience Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Client Services - DIrector (REMOTE) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands? · Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. · Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world’s most respected organizations. · Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. · Leverage Sedgwick’s broad, global network of experts to both learn from and to share your insights. · Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. · Enjoy flexibility and autonomy in your daily work, your location, and your career path. · Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE OF THE ROLE: To determine account management strategies related to client service plans; to be responsible for retention of existing clients, customer satisfaction, revenue growth, client surveys, and new business; to provide program management for jumbo clients requiring dedicated staff, multiple offices and complex service models; and to oversee the work of other local Client Services staff. ESSENTIAL RESPONSIBLITIES MAY INCLUDE - Provides stewardship reporting to clients; identifying and educating clients on issues and trends impacting programs. - Conducts pre-renewal visits reviewing client loss experience and general company performance. Reviews and identifies areas of potential dissatisfaction prior to renewal meetings. - Performs client renewal, contract revision, and Client Service Instruction preparation for complex programs. - Facilitates the reduction of process barriers, technology constraints, or resource constraints by directing and influencing the activities of other internal departments such as information technology, operations and business development. - Coordinates client invoicing, audits and accounts receivable follow up for assigned clients. - Resolves all major customer service issues. SUPERVISORY RESPONSIBILITIES - Provides support, guidance, leadership and motivation to promote maximum performance. - Administers company personnel policies in all areas and follows company staffing standards and training recommendations. - Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. CPCU, AIC and/or ARM or other related designation preferred. Experience Ten (10) years related experience or equivalent combination of education and experience required to include two (2) years account manager experience or five (5) years adjuster experience including two (2) years in a supervisory capacity. TAKING CARE OF YOU · Flexible work schedule. · Referral incentive program. · Career development and promotional growth opportunities. · A diverse and comprehensive benefits offering including medical, dental vision, 401K on day on Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities. Job Summary: The Member Services Representative is responsible for providing outreach to our members to help them navigate the complex healthcare delivery system. This will entail verifying their primary care physician and eligibility and contacting their insurance plan when applicable to ensure they are assigned to ArchWell Health. This role has the potential to handle provider data management and will need to verify AWH provider information with these insurance partners when applicable. An ideal candidate will have a deep understanding of the healthcare ecosystem, have strong attention to detail, and be driven by a passion for providing quality care to seniors. Duties/Responsibilities: - Outreach to members and insurance partners over the phone to verify members are assigned to ArchWell Health and schedule members for appointments - Complete proper documentation of all member and payor outreach - Assist members in problem solving potential issues related to the health care system - Validate provider data on file with insurance partners - Utilize and manipulate shared Excel spreadsheets to track membership and interactions. Required Skills/Abilities: - Proficient PC skills to include Microsoft Office and Excel - Passion for helping senior members successfully carry out care plans - Ability to work effectively with diverse populations including staff, providers, members, family members, insurance carriers, vendors, and the public - Basic medical terminology - Understanding of Medicare Advantage Education and Experience: - High school diploma or equivalent education (GED) required - A minimum of one year working in healthcare, ideally with experience related to benefits and insurance required - eClinical Works or similar EMR experience preferred ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.