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Carenet Health

Healthcare technology solutions for providers

Certified Medical Assistant

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • A high school diploma or GED is required.
  • At least three years of retail pharmacy experience is required.
  • Extensive knowledge of Medicare Part D, particularly pharmacy record review, claims, billing, and reimbursement rules, is required.
  • Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements is required.
  • Working knowledge of Medicare Part B and Part D coverage guidelines and payment methodologies is required.
  • A current, unrestricted license is required.
  • Medical Assistants must be certified by the American Association of Medical Assistants or registered as a Medical Assistant by the American Medical Technologists.
  • Applicants must read, write, and speak Spanish and English proficiently.
  • Applicants must have basic PC and keyboarding skills.
  • Applicants must have working knowledge of Microsoft Office, the internet, and email.
  • Applicants must be able to calculate figures and amounts and apply basic algebra.
  • Applicants must be able to interpret company software, guidelines, health references, professional journals, technical procedures, or governmental regulations; present information and respond to questions; and produce written work without typographical or spelling errors.
  • Applicants must use sound judgment to solve problems.

Responsibilities

  • Receive and respond to prescription refill requests through phone, email, fax, and Telephone Encounter.
  • Verify the validity and accuracy of prescription refill requests in compliance with regulatory guidelines.
  • Prepare and dispense prescription refills accurately and efficiently according to organizational protocols and procedures.
  • Provide clear and comprehensive information and customer service to internal and external stakeholders.
  • Compile and analyze data on prescription-refill processing key performance indicators, present findings to departmental leadership, and identify trends.
  • Follow assigned schedules and quality metrics while maintaining productivity and efficiency in prescription-refill processing.
  • Provide clinical staff and managers with administrative support for special projects, studies, and reports related to medication-refill programs.
  • Collaborate with interdisciplinary teams to improve workflow efficiency and patient-care outcomes.

Desired Qualifications

  • National Certification is preferred.
  • The ability to handle multiple-line phone systems, pagers, and paging systems is preferred.

About the Company

Carenet Health

Healthcare technology solutions for providers

Carenet Health provides technology-enabled business services and analytics-driven capabilities to help providers, payers, and health service organizations meet consumer healthcare needs. Its offerings include customized programs, operational support, and consumer engagement initiatives that healthcare organizations deploy to improve outcomes, reduce costs, and enhance patient experience, all tailored to each client and supported by a broad network. The company differentiates itself with a 25+ year track record, a large client network of 500+ health plans and providers, and a focus on personalized, outcome-driven engagements rather than generic products. Its goal is to help healthcare organizations grow, optimize costs, and empower consumerism by delivering efficient, effective, and engaging care experiences for patients.

Company size
501-1,000
Company stage
Not listed
Total funding
Not listed
Headquarters
San Antonio, TX
Founded
1988

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