Centauri Health Solutions

The role involves responding to calls from health plan members to assist them in determining eligibility for benefits and accessing community social services. The specialist will engage members in assessments, research available resources, and provide options while ensuring member understanding and satisfaction. | Candidates should have at least 1 year of experience in a customer service center and a professional office environment, with a preference for social services or healthcare experience. Strong interpersonal and communication skills, along with a high school diploma or GED, are required, while a Bachelor of Social Work is strongly preferred. | Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com. Role Overview: Join our award-winning health care services firm as a Social Service Specialist/Healthcare Customer Service Representative, working with health plan members and assist them in locating resources relating to benefits and community social services. The Social Service Specialist/Healthcare Customer Service Representative possesses at least 2 years of customer service experience along with strong interpersonal skills and a desire to learn. Prior experience in assisting community members with access to social services is preferred, but extensive training will be provided. We offer a vibrant, positive team culture with a focus on customer service and professional growth. We make a difference in the lives of our customers, our community, and our associates. In fact, our service vision is “Come from a place of kindness in every interaction.” If that aligns with your personal values, and your qualifications meet our requirements, we would like to talk! Role Responsibilities: Responds to calls from client’s members or patients requesting assistance with determining eligibility for benefits or access to community social services. Engages members in standardized assessment to identify needs and eligibility for resources related to social determinates of health. Research, using identified database(s), benefits/community resources available to meet specific person’s needs. Provides options of resources to member and with members input, assesses which resource(s) will be accessible to member. Validates member’s understanding and recording of information provided. Assists the member/patient in accessing identified resources which may include a warm transfer to the identified agency. Where available, provides written information via email or mail to members/patient, identifying applicable social service community resources. Communicates with members/patients via phone, and clarifies the details of Centauri Health Services, properly sets expectations for process and communication to ensure member understanding. Leverages technology and account processing workflows; maintains data integrity with accurate and concise documentation in Centauri Health Services Compass systems and contracted resource systems. Assists members and takes appropriate action to secure resources contracted by Centauri client. Follows established workflow for member follow-up contact to determine outcome and resolution of member identified needs. Provides warm transfer of member/patient to client as indicated by identified need outlined by contracted Centauri client. Documents all member contact in Centauri Health Solutions database. Communicates regularly and works effectively with supervisor and team to ensure that resource information is current and correct. Effectively maintains records of identified incorrect /outdated resource information. Perform miscellaneous clerical tasks (fax, file, data entry, scan, index). Promptly take and return all calls. Answers questions regarding resources. Completes other duties as assigned. Maintains positive professional relationship with client members / patients throughout resolution of identified problems. Ensures member/patient satisfaction through scheduled follow-up contact to validate member/patient receipt of benefits/services. Manage a high volume of outbound/inbound phone calls. Performs miscellaneous administrative tasks as required. Partners with leadership for continuation training Role Requirements: 1+ years of experience working in a professional office & fast-paced environment 1+ year working in Customer Service Center At least one year of social services or health care experience desired Strong interpersonal and communication skills Ability to place and receive calls via computer interface Ability to provide professional customer service Self-motivated and driven to succeed with a proactive work approach and solution focused attitude Strong computer and data entry skills Attention to detail Excellent critical thinking skills Ability to work independently High School Diploma or GED equivalent Bachelor of Social Work strongly preferred, or equivalent degree/work experience We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan. Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law. Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate. This position is bonus eligible in accordance with the terms of the Company’s plan.

The Radiology Scheduling Coordinator is responsible for performing Schedule+® functions, including insurance verification and scheduling services for patients at HCA facilities. This role requires excellent customer service and effective communication with patients and healthcare staff. | Candidates must have excellent customer service experience, preferably in a high-volume call center or healthcare environment. A high school diploma or equivalent is required, along with an associate degree or two years of relevant experience. | Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com. Role Summary: This position is responsible for accurately performing the Schedule+® functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public. Role Responsibilities: Insurance Authorization/Verification Thoroughly completes the insurance verification process to ensure the accuracy of insurance information. Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services. Coordinates peer-to-peer reviews as needed between the physician and the insurance company. Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system. Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process. Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs. Monitors appropriate work lists to ensure timely insurance verification processing. Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements. Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs. Scheduling Makes outbound and receives inbound calls to schedule patients for imaging services at an HCA facility. Schedules and documents notes in hospital and Centauri’s operating system Provide patient prep instructions for the services scheduled Works with hospital staff to ensure patients are scheduled timely, appropriately and receive the upmost customer service Clerical Monitors and manages the e-mail inbox or fax machine for assigned practices throughout the day. Works any requests e-mailed or faxes received Checks and responds to voicemails Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices. Monitors appropriate work lists to ensure timely insurance verification processing. Additional Responsibilities: Effectively communicates operational activities and issues with co-workers, Supervisor, and Manager. Interfaces courteously and effectively with internal and external customers. Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures. Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process. Identifies and recommends process improvements for the Schedule+ Program. Performs other duties as assigned by the Patient Access Management Team. Role Requirements: Excellent customer service or client relations experience; office or hospital environment High volume call center experience preferred High school diploma or equivalent GED required Associates degree in a related field or a minimum of two years in patient scheduling, registration and/or healthcare billing Strong Literacy (grammar, spelling, math) Strong Microsoft Products, word, excel, outlook, windows We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan. Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law. Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate. This position is bonus eligible in accordance with the terms of the Company’s plan.

Healthcare Disability Specialists manage inbound and outbound calls while assisting claimants with Social Security applications. They maintain communication with claimants, gather necessary data, and ensure eligibility for government assistance programs. | Candidates must have 2 years of customer service experience and be fluent in both Arabic and English. Strong communication skills, detail orientation, and the ability to work in a team environment are essential. | Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com. Role Overview: Our company helps hospitals and health plans improve their revenue and deliver community benefits. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs. Disability Specialists work in a fast-paced, multi-tasking, contact center environment, managing both inbound and outbound calls. Healthcare Specialists is an entry level position and will handle all submitted Social Security applications from beginning to end while providing claimants with outstanding customer service and support and will work closely with Social Security offices nationwide. The Healthcare Specialist will coordinate appointments, provide resources and materials, and provide medical updates to Disability Determination Services and private institutions. A successful Healthcare Specialist is an empathetic communicator, likes to juggle multiple projects, is detail oriented and, above all, is compassionate. Role Responsibilities: Maintains regular communication with claimants, answers questions regarding the application, services, and benefits and clarifies eligibility data Will manage all inbound and outbound queue calls while staying on top of own tasks Assists in gathering eligibility data, verifications, completed forms and medical records. Manages positive professional relationships with agencies and clients. Submits documents/applications to proper agencies; follows up appropriately with all entities to ensure processing and stays updated on status of claims. Manages all accounts and taking appropriate action to secure eligibility until all methods are exhausted. Secures and submits all necessary signed SSA forms and any missing verifications Contacts providers / secures medical records as needed Is thoughtful and proactive to anticipate and foresee key requirements for all accounts and takes appropriate action to secure eligibility until all methods are exhausted Works with government agencies/physician offices to obtain coverage for clients Maintains positive professional relationship with agencies and clients Understand and agree to role-specific information security access and responsibilities Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies Read, understand, and agree to security policies and complete all annual security and compliance training Role Requirements: 2 years of Customer Service Must be fluent in both Arabic and English (speak, read, write) Excellent communication and interpersonal skills with an ability to clearly communicate and influence Call Center experience and/or De-Escalation experience a plus Experience working with government agencies a plus Experience in Social Services, case management, processing disability/claims evaluation and/or adjudication, and Medicaid/Medicare knowledge a strong plus Strong interpersonal skills and ability to work in a team environment Detail Oriented, Willing to Learn, and Goal Driven Ability to multi-task and manage time appropriately Strong computer skills, proficiency with Microsoft Word, Excel and Outlook, and ability to navigate multiple platforms and screens smoothly We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan. Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law. Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate. This position is bonus eligible in accordance with the terms of the Company’s plan.

The Radiology Scheduling Coordinator is responsible for performing scheduling functions, including insurance verification and pre-certification for services at an HCA facility. This role requires effective communication with patients and healthcare staff to ensure timely and accurate scheduling. | Candidates must have excellent customer service experience, preferably in a high-volume call center or healthcare setting. A high school diploma or equivalent is required, along with an associate's degree or two years of relevant experience. | Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com. Role Summary: This position is responsible for accurately performing the Schedule+® functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public. Role Responsibilities: Insurance Authorization/Verification Thoroughly completes the insurance verification process to ensure the accuracy of insurance information. Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services. Coordinates peer-to-peer reviews as needed between the physician and the insurance company. Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system. Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process. Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs. Monitors appropriate work lists to ensure timely insurance verification processing. Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements. Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs. Scheduling Makes outbound and receives inbound calls to schedule patients for imaging services at an HCA facility. Schedules and documents notes in hospital and Centauri’s operating system Provide patient prep instructions for the services scheduled Works with hospital staff to ensure patients are scheduled timely, appropriately and receive the upmost customer service Clerical Monitors and manages the e-mail inbox or fax machine for assigned practices throughout the day. Works any requests e-mailed or faxes received Checks and responds to voicemails Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices. Monitors appropriate work lists to ensure timely insurance verification processing. Additional Responsibilities: Effectively communicates operational activities and issues with co-workers, Supervisor, and Manager. Interfaces courteously and effectively with internal and external customers. Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures. Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process. Identifies and recommends process improvements for the Schedule+ Program. Performs other duties as assigned by the Patient Access Management Team. Role Requirements: Excellent customer service or client relations experience; office or hospital environment High volume call center experience preferred High school diploma or equivalent GED required Associates degree in a related field or a minimum of two years in patient scheduling, registration and/or healthcare billing Strong Literacy (grammar, spelling, math) Strong Microsoft Products, word, excel, outlook, windows We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan. Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law. Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate. This position is bonus eligible in accordance with the terms of the Company’s plan.