Scheduling Specialist
Location
United States
Posted
20 days ago
Salary
$41.6K - $57.6K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Scheduling Specialist
Alignment Health
Role Description The Scheduling Specialist provides outreach and support to ensure all our eligible members have access to the care they deserve around our available Clinical/Patient Programs. Assists in navigating our members through the different programs they may be eligible and assists in scheduling them for what best suits their needs. Navigates with our members every step of the way to ensure they are never alone in their healthcare journey. Utilizes excellent customer service measures and understands the meaningful contribution the team makes to our members’ healthcare outcomes. - Serves as a “subject matter expert” in the clinical programs that our members may be eligible for, including procedures, scheduling for Health Assessments, protocols, benefits, services, and other necessary information to resolve member issues and inquiries. - Conducts member outreach phone calls and/or receives inbound phone calls within the department’s goal timeframe; manages member’s communication preferences, which may include time of day, channel, and language; utilizes interpreter service as needed. - Collaborates with partners, including but not limited to other departments, Member Services, and Clinical Departments, to facilitate the member experience. - Identifies members targeted for care gaps and other campaigns, connects members to programs or services when appropriate; analyzes available programs, determines program eligibility, and connects members to appropriate providers or vendors. - Responsible for real-time documentation and timely wrap-up to support outcomes reporting in all systems/applications; must enter member demographics and information with accuracy and attention to detail. - Responsible for meeting or exceeding individual and team goals, and for submitting activity reports in the required format and frequency. - Excels in customer service and contributes to a culture of going “above and beyond” to ensure the highest level of member satisfaction. - Other duties as assigned. Qualifications - Required: Minimum 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations. - Preferred: Experience in a clinical setting managing provider schedules; helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits; call center experience in welcome/onboarding, appointment scheduling, retention, sales, or other health care/health plan related programs; inbound call center experience indicating a higher level of problem-solving such as escalation or resolution. Requirements - Education: Required: High School Diploma or GED; Preferred: College courses. - Specialized Skills: - Ability to communicate positively, professionally, and effectively with others; provide leadership, teach, and collaborate with others. - Effective written and oral communication skills; ability to establish and maintain constructive relationships with diverse members, management, employees, and vendors. - Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals; ability to write routine reports and correspondence; ability to speak effectively before groups of customers or employees of the organization. - Mathematical Skills: Ability to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s; ability to perform these operations using units of American money and weight measurement, volume, and distance. - Reasoning Skills: Ability to apply common sense understanding to carry out detailed, but uninvolved written or oral instructions; ability to deal with problems involving a few concrete variables in standardized situations. - Computer Skills: Strong computer skills; typing 40+ words per minute. - Problem-Solving Skills: Effective problem solving, organizational and time management skills; ability to work in a fast-paced environment. - Preferred: Bilingual English/Spanish, or Vietnamese, Chinese (Mandarin), Korean. - Licensure: Required: None. - Other: Must be available to work full-time and overtime through the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar). Benefits - Pay Range: $41,600.00 - $57,600.00; pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Related Guides
Related Categories
Related Job Pages
More Call Center Representative Jobs
Patient Service Center Representative II
Conifer Health SolutionsFounded in 2008, Conifer Health Solutions is an independent healthcare services company that specializes in managed services for health systems. Conifer Health Solutions employs th
Role Description The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling, and other identified financial clearance related duties in addition to full scheduling duties. Upon occasion, the PSC REP II may be only assigned to complex pre-registration. The PSC REP II is expected to develop a thorough understanding of assigned function(s). Essential Duties and Responsibilities - Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call: - Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.) - Financial Clearance: Up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts. - If assigned to Order Management: Verifies order is complete and matches scheduled procedure. Includes indexing and exporting physicians orders to correct account number. - If assigned to complex Pre-Reg: - Collect and verify required patient demographic and financial data elements, including determining a patient’s financial responsibility and securing pre-payment for future services/performing collection efforts. - Create a complete pre-registration account for an upcoming inpatient/surgical admission. - Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility. - Other duties as assigned based on departmental needs. Qualifications - Ability to work in a production driven call-center environment. - Familiarity with working with dual computer monitors (may be required to use dual monitors). - Must have basic typing ability. - Must have working knowledge of Windows based computer environment. - Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously. - Extensive multitasking ability. - Strong written and verbal communication skills. Requirements - Required: High school diploma or GED. - Preferred: Two plus years of college (two years in a professional, customer service-driven environment may substitute for two years of college), completion of related medical certification program. - Preferred: Telephone/call center experience. - Preferred: Pre-registration and/or scheduling experience. - Preferred: 2-3 years of customer service experience. Physical Demands - Must be able to work in sitting position, use computer and answer telephone. - Ability to travel. Work Environment - Office Work Environment. - Hospital Work Environment. Travel - Approximately 0% travel may be required. Benefits - Medical, dental, vision, disability, and life insurance. - Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. - 401k with up to 6% employer match. - 10 paid holidays per year. - Health savings accounts, healthcare & dependent flexible spending accounts. - Employee Assistance program, Employee discount program. - Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. - For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act. Compensation - Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience. - Position may be eligible for a signing bonus for qualified new hires, subject to employment status. - Conifer observed holidays receive time and a half.
Sales and Retention Call Centre Agent
TransUnionFounded in 1968, TransUnion is a credit information management services provider for consumers, businesses, and the global credit community. An equal opportunity employer recognize
• Contribute to business growth by consistently meeting and surpassing sales goals • Enhance customer satisfaction and loyalty through effective problem-solving and personalized service • Strengthen the company’s brand reputation • Support risk mitigation and process improvement for customers • Foster a culture of continuous learning and professional development
Registered Nurse
Gundersen Health SystemBased in LaCrosse, Wisconsin, the Gundersen Health System is a physician-led, nonprofit healthcare network with facilities in 19 counties throughout western Wisconsin, southeastern
Title: Registered Nurse, RN | Medicare Annual Wellness Location: Onalaska United States time type Part time Remote job requisition id JR-30121 Job Description: Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Scheduled Weekly Hours: 24 Emplify Health by Gundersen is seeking a part-time RN (0.6 FTE) to preform Medicare Annual Wellness Visits. This is your opportunity to work in an autonomous environment to the full scope of your license in a team-based-care model while living in the beautiful Coulee region. What you will do: - 0.6 FTE=48 hours every two weeks - Daytime hours, no weekends, no holidays, no on-call - 8-hour shifts between 7:30am and 5:30pm - Nurse only Medicare Annual Wellness Visits; including referrals, consults, immunizations, setting up screenings, etc. - Hybrid/Remote: Work up to 50% from home based on department need. Onsite locations are based out of La Crosse and Onalaska What you need: - Associate Degree in Nursing - RN licensure to practice in the state of Wisconsin upon hire - RN licensure to practice in the state of Minnesota & Iowa within 3 months of hire - Ambulatory Care experience desired, but not required What you will get: - Gundersen's generous compensation and benefit package, including our top-rated retirement plan - Growth opportunities and access to Gundersen's Career Development Center to help you navigate your career Emplify Health is comprised of two of the Midwest's most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan's Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Join us in making a meaningful difference in the lives of our patients and communities. We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values - belonging, respect, excellence, accountability, teamwork and humility - our pillars set our foundation and our future. Equal Opportunity Employer
Registered Nurse
State of FloridaThe State of Florida offers a rich and diverse environment with oceanfront destinations, an award-winning state park system, and a wealth of recreational opportunities for people o
Title: OPS REGISTERED NURSE - 64937244 Location: TALLAHASSEE, FL, US, 32304 Workplace: Full Time Department: Health Care Hybrid Job Description: Requisition No: 875725 Agency: Department of Health Working Title: OPS REGISTERED NURSE - 64937244 Pay Plan: Temp Position Number: 64937244 Salary: $27 hr Posting Closing Date: 05/22/2026 Total Compensation Estimator Tool Open Competitive OPS REGISTERED NURSE $27.00 PER HOUR FL DEPARTMENT OF HEALTH IN LEON COUNTY TALLAHASSEE, FLORIDA Your Specific Responsibilities Job Description This nursing position is responsible for specialized school health services at assigned schools and requires independent problem-solving using nursing judgement and skills within parameters established by law and policy. The position acts as a liaison between Leon County Health Department (LCHD), the school, the student, the parent/guardian, and the medical community. The position is supervised by a School Health Nursing Director. Case Management Provide in-person and remote case management for students' medical management plans, ensuring physicians' orders are followed as directed by health aides and school staff. Review various logs (medication, daily, and individual) for accuracy and timeliness. Review all care provided by health aides, to ensure that established plans are followed, and to assess medical data to make any recommendations for changes to the student’s medical provider. Stakeholder Training & Education Provide individual, child-specific training and field trip training to district staff, including Level II diabetic care and medication administration. Teach health classes in growth & development, hygiene, dental care, sun safety, nutrition, and other health topics as requested. Assist in developing and implementing program planning and services, curriculum changes to in-service classes, and evaluation techniques for same. Speak and present as requested at parent teacher organization and staff meetings on requested health topics. Annual Screenings Conduct annual health screenings each school year at elementary, middle, and charter schools. Document notifications to school officials and efforts to notify parents/guardians of screening failures identified. Train and supervise volunteer and district employees, as assigned, to complete tasks. Obtain care in the case of homelessness. Make referrals for appropriate care to meet requirements, and/or provide assistance to social work managers for students requiring further referrals. Individual Health Care Plans Develop and implement individual health care plans. Serve as the health expert for child study team, individualized education program (IEP) development, and 504 plans. Act as liaison for Department of Health (DOH) in Leon, the school, the student, the parent/guardian, and the medical community. Inventory Management Ensure subordinates accurately inventory all medications in the clinic on a monthly basis, through direct observation, one-on-one meetings, and audits. Oversee ordering, inventory, maintenance, storage, and usage of first aid and related health supplies and equipment. Other related duties as assigned by supervisor Required Knowledge, skills and abilities, including utilization of equipment, required for the position: Knowledge of nursing principles, practices, and techniques. Knowledge of human anatomy and physiology. Ability to participate in the planning and implementing of treatment for patients. Ability to work with patients having a variety of physical or emotional problems. Ability to observe patients’ reactions to medications. Ability to plan, organize, and coordinate work assignments. Ability to communicate effectively. Ability to establish and maintain effective working relationships with others. Minimum Qualifications: Licensure/registration/certification requirements: Registered Professional Nursing License: Florida Statute 464 Florida Department of Health Mission, Vision, and Values: Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation. Values: I nnovation: We search for creative solutions and manage resources wisely. C ollaboration: We use teamwork to achieve common goals & solve problems. A ccountability: We perform with integrity & respect. R esponsiveness: We achieve our mission by serving our customers & engaging our partners. E xcellence: We promote quality outcomes through learning & continuous performance improvement. Where You Will Work: 2965 Municipal Way Tallahassee, FL 32303 The Benefits of Working for the State of Florida: Working for the State of Florida is more than a paycheck. As an OPS employee, the benefits below are available: - State of Florida 401(a) FICA Alternative Plan (mandatory) - Participation in state group insurance (upon meeting eligibility requirements. Consult with People First and/or the serving HR office) - Workers’ Compensation (mandatory, if needed) - Reemployment Assistance (Unemployment Compensation) (mandatory, if needed) - Deferred Compensation (voluntary) - Employee Assistance Program (voluntary) - And more! For a more complete list of benefits, including monthly costs, visit www.mybenefits.myflorida.com Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process. This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions. If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement. The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility. All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered. Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.




