Spanish Speaking Care Team Associate - WellMed - San Antonio, TX

As one of the largest pharmacy benefits managers in the United States, UnitedHealth Group provides a professional culture where you're empowered and encouraged to exceed the expectations of our members, with better schedules than retail and more reach than any hospital. Join us and start doing your life's best work.(sm)
 
The Care Team Associate (CTA) will effectively support the successful implementation and execution of all pharmacy programs and processes.  The Care Team Associate will provide support to the pharmacy staff to ensure applicable program processes and operational responsibilities are met. The Care Team Associate will be responsible for determining eligibility of members applying for the Medical Assistance Program (MAP). This position will also provide support in troubleshooting any member issues identified by the pharmacy staff during member outreach calls.
 
Please note: This is an office based position located off of Northwest Parkway in San Antonio, TX. The office hours are M-F 8 am - 7 pm. Start times will rotate between 8 am, 9 am, and 10 am (This is required). One 4 hour Saturday shift per month is required.
 
Primary Responsibilities:

Receives and responds to escalated pharmacy inquiries from all communication venues: e.g. phone queue, portal, claim queue, department e-mail box or fax
Coordinates and assists initial screening of MAP enrollment requests via all communication venues; as well as administrative preparation for clinical staff
Conducts in-bound and out-bound calls for program requirements including, but not limited to: patient scheduling, surveys/screenings, reminder calls, census management and distribution of materials to appropriate clinical personnel or patients
Initiates the process of granting, modifying, denying, or terminating assistance, or referring applicants to other agencies for assistance
Collects and maintains eligibility information in an appropriate and confidential manner
Interviews applicants by phone for program requirements
Enters all assigned applications within a specified time frame in order to ensure eligibility deadlines are met accordingly
Exhibits excellent phone and communication skills while providing complete and accurate information to customers
Requests additional or supplemental information via correspondence in order to complete applications
Adheres to assigned schedule and quality metrics
Uses a multi-lined telephonic system to answer calls regarding eligibility requirements
Maintains abreast of program qualifications in order to troubleshoot problems that may arise during the eligibility process
Completes calls/assignments and ensures census management, productivity weekly and monthly standards are met
Provides clerical and/or administrative support to clinical staff and managers for special studies, projects and reports
Provides excellent customer service by serving as a resource to all internal and external customers
Attends required meetings and participates in special committees as needed
Performs other duties as assigned

Required Qualifications:

High School Diploma or GED required
2 years of administrative support experience
Basic knowledge of Microsoft Office products, including Word and Outlook
Must be able to work independently, with some supervision and direction from manager
Possesses medical terminology knowledge base
Must possess and demonstrate excellent organizational skills, customer service skills, and verbal and written communication skills to include but not limited to patients, physicians, clinical staff, contracted providers and managers
Must maintain and demonstrate a high degree of professionalism to include both personal conduct and appearance at all times
Must maintain strict confidentiality at all times to include but limited to patients and coworkers
Must comply with all organizational policies regarding ethical business practices
Must adhere to all department policies and procedures
Preferred Qualifications:

Certified Medical Assistant training or certification preferred
2 or more years of experience in a physician’s clinic or hospital preferred
Additional years of experience working in a medical care setting as a receptionist or medical assistant
Bilingual language proficiency (English/Spanish)
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 
 
Job Keywords: pharmacy, office support, administrative, MA, medical assistant, Medicare, clinic, WellMed, UnitedHealth Group, UHG, UnitedHealthcare, UHC, San Antonio, TX, Texas