Clinical Service Assistant at Elevance Health

Atlanta, Georgia, United States

Apply Now

Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

H.S. diploma or equivalent and a minimum of 1 year experience in a business or health care setting (or any combination of education and experience which would provide an equivalent background)
For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required

Responsibilities

Assess members via telephone and give referrals
Support systems, workflow, and reporting-related requirements of the unit
Identify trends and opportunities for additional associate training on unit workflow and processes
Monitor unit workflow and processes and identify opportunities for improvements
Provide administrative support to associates to help in identifying and resolving workflow and process issues
Assist leads and management with the implementation of new and existing non-clinical policies and procedures
Run ad-hoc reports
Provide user acceptance training coordination on new systems and enhancements, and provide input on new unit procedures, policies, and workflow related topics
Process HIP alerts, route facsimiles, and coordinate dialer campaigns
Work with referral services associates to ensure seamless processes
Provide administrative support including triaging help desk tickets, monitoring group email/voice mail boxes, participating in clinical Rounds, and processing internal referrals
Enter manual data (surveys, labs, pilots, and other ancillary manual entry requirements) and manage HRS exception reviews
Support workforce management, RN licensure, and other special projects

Skills

Telephone Triage

Referral Processing

Workflow Management

Administrative Support

Reporting

HIPAA Compliance

User Acceptance Testing

Process Improvement

Policy Implementation

Facsimile Routing

Dialer Campaigns

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

Land your dream remote job 3x faster with AI

Try Jobo Free