Top 189 Member experience specialist Jobs in Santa Maria Ca

Medication Claims Reviewer
Community Health Centers of the Central Coast —Nipomo, CA
- $26.00 - $28.67 an hour
- Weekends as needed
- Ability to walk for extended periods
- Pass drug screening
- Mid-level
Aerospace Inventory Specialist
United Launch Alliance —Vandenberg AFB, CA
- $23.25 - $53.99 an hour
- Overtime
- Mid-level
- Forklift
- Ability to climb stairs
- Paid time off
- 401(k) matching
Line Worker
Frontier Communications —Santa Maria, CA
- $24.74 - $46.70 an hour
- Pass drug screening
- Construction experience
- Outdoor work
Health, Environmental & Safety (HES) Manager
Santa Maria Road Materials —Santa Maria, CA
- $100,000 - $200,000 a year
- Full-time
- Office
- Bachelor's degree
- Recruiting
- Health insurance
- Dental insurance
Quick Apply
5d
Conservation Projects Director (Hybrid)
The Wildlands Conservancy —California
- $85,000 - $110,000 a year
- Full-time
- Hybrid work
- Background check
- Up to 50% travel
- 5 years
- Paid jury duty
- AD&D insurance
Quick Apply
Payroll Specialist
BBSI —San Luis Obispo, CA
- $36 - $40 an hour
- Full-time
- Microsoft Outlook
- Up to 50% travel
- Customer service
- Commuter assistance
- Health savings account
Quick Apply
Banking Operations, AVP - Community Bank of Santa Maria
Community Bank of Santa Maria —Santa Maria, CA
- $80,000 - $95,000 a year
- 8 hour shift
- Background check
- Office
- Microsoft Office
- Paid holidays
- Disability insurance
Quick Apply
6d
Family Child Care Home Education Network Specialist
Early Development Services, Inc. —Santa Maria, CA
- $26.98 - $28.62 an hour
- Weekends as needed
- 18 years or older
- Spanish
- CPR Certification
- Health insurance
- Dental insurance
Quick Apply
7d
Supervising Medical Doctor
COMMUNITY BEHAVIORAL HEALTH —California
- $750 - $3,000 a month
- Part-time
- Remote
- Medicine
- Management
- Doctoral degree
Quick Apply
18h
Social Worker Early Childhood Bilingual Required #2147
Tri-Counties Regional Center —San Luis Obispo, CA
- $27.55 - $31.90 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Spanish
- English
- Health insurance
- Dental insurance
Quick Apply
Youth Development Specialist
United Boys & Girls Clubs Of Santa Barbara County —Buellton, CA
- $17.87 - $22.61 an hour
- Part-time
- Background check
- US work authorization
- In-person
- Flexible schedule
Quick Apply
2d
Accounts Payable Specialist
Central West Produce —Santa Maria, CA
- $22 - $28 an hour
- Weekends as needed
- Microsoft Excel
- Basic math
- Office
- Health insurance
- Dental insurance
Quick Apply
10d
Embroidery Art Specialist
Will be announced —San Luis Obispo, CA
- $25 - $30 an hour
- Full-time
- Mid-level
- Quality control
- Warehouse
Quick Apply
Military Service - Air Force Reserve, Education & Training
Military Service - Air Force Reserve —Lompoc, CA
- From $50,000 a year
- Part-time
- Military
- High school diploma or GED
- Entry level
- Health insurance
- Tuition reimbursement
Military Service - Air Force Reserve, Aircraft Structural Maintenance
Military Service - Air Force Reserve —Lompoc, CA
- From $50,000 a year
- Part-time
- Military
- Mid-level
- High school diploma or GED
- Health insurance
- Tuition reimbursement
AI Prompt Engineer & Workflow Specialist
Pacific Health Group —California
- $76,000 - $85,000 a year
- Full-time
- Hybrid work
- Google Workspace
- HIPAA
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
Electronics Application Development Engineer
Nordson —California
- $101,700 - $152,600 a year
- Online Application
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
Military Service - Air Force Reserve, Security Forces
Military Service - Air Force Reserve —Lompoc, CA
- From $50,000 a year
- Part-time
- High school diploma or GED
- Driver's License
- Driving
- Health insurance
- Tuition reimbursement
Field Service Specialist II
Dignity Health Medical Group —Santa Maria, CA
- $45.26 - $67.32 an hour
- Full-time
- Hospital
- 5 years
- Mentoring
7d
Payroll Specialist
Lindamood-Bell Learning Processes —San Luis Obispo, CA
- $28 - $34 an hour
- Seasonal
- Microsoft Excel
- Mid-level
- Office
- Profit sharing
- Employee assistance program
Quick Apply

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member experience specialist jobs near santa maria ca

Medication Claims Reviewer

Community Health Centers of the Central Coast -
Nipomo, CA

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Job Details

Full-time
$26.00 - $28.67 an hour

Qualifications

Mid-level

Full Job Description

Job Title: 340B Reviewer Clerk

Department: 340B

Reports To: Director of 340B Program

FLSA Status: Non-Exempt

Wage Range that the Company Expects to Pay: $26.00 - $28.67per hour

SUMMARY

Under the supervision of the Director of 340B Program, the 340B Reviewer Clerk shall perform chart reviews to locate chart notes, consultations, medications and referral orders to support 340B claims. The 340B Reviewer Clerk will work with team members, clinic staff and physicians to ensure all requirements are met.

It is the primary purpose of CHCCC to provide the highest quality of total care possible to the patient population it serves. Such a level of quality depends ultimately on the staff's desire and ability to work together, individually, and as a team. The employee is expected to be professional, punctual, maintain regular attendance, cooperative, motivated, and organized at all times.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Additional duties may be assigned with or without prior notice.

Uses 340B reports to identify patient charts that require review for chart notes, consultations, medication documentation and referral orders.

Performs chart review, identifies presence or absence of required elements.

Works with Specialty offices or Referral Department to retrieve the missing consultation documentation.

Contacts pharmacies to obtain a copy of the prescription when the consultation documentation does not include medication referenced in 340B claims report.

Uses pharmacology references to determine generic from brand name prescription drugs.

Works with office staff, medication case managers and physicians to ensure medication reconciliation is completed to reflect medications from 340B claims report.

Works with office staff and physicians to ensure referral order is in chart for patients seen by and receiving prescription drugs from consulting specialist.

Faxes consultations and prescription slips to Athena for scanning into patient’s EMR.

Work with 340B team to verify 340B claims reports.

Demonstrates professionalism and provides quality customer service using AIDET Standards.

Ability to work with high volume of patients, internal/external customers, and deal with frequent changes, delay or unexpected events.

Record 340B receivables.

Demonstrates adherence to and observes all safety policies and procedures.

Demonstrates knowledge of domestic violence, child and dependent abuse protocols.

Demonstrates cultural sensitivity and competence with patients.

Maintains and adheres to HIPAA, employee confidentiality, and privileged communications (patient, employee, and corporation).

SUPERVISORY RESPONSIBILITIES

This job has no supervisory responsibilities.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Understanding of accounting and finance

EDUCATION and/or EXPERIENCE

High school diploma or GED required. Finance background preferred.

LANGUAGE SKILLS

Ability to read, analyze, and interpret documents such as safety rules, operating and maintenance instructions, policy and procedure manuals. Ability to respond effectively to the most sensitive inquires or complaints. Ability to write routine reports and correspondence. Ability to speak effectively before groups of patients or employees of organization.

MATHEMATICAL SKILLS

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

REASONING ABILITY

Ability to apply sound judgment in understanding to carry out instructions in written or oral form. Ability to make appropriate job decisions following standard office policies and past precedents.

COMPUTER SKILLS

Experience with word processing, spreadsheets, email, and keyboarding required. Microsoft Office and Google Suite skills required. Excellent command of Excel and working knowledge of EHR preferred.

CERTIFICATES, LICENSES, REGISTRATIONS

Possession of current, valid, unrestricted California Driver's License (Class C) required.

OTHER REQUIREMENTS

Required to pass a criminal history background check and drug screen upon hire.

Annual health examination; annual Tuberculosis skin test clearance or chest x-ray; proof of immunity to MMR, Varicella, and Hepatitis B; proof of Tdap vaccine; during current flu season, must provide proof of influenza vaccine or a signed declination form. If declined, a flu mask is mandatory during flu season.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee occasionally is required to sit. The employee is occasionally required to stand and walk for extended periods of time. The employee may occasionally lift and/or move up to 10 pounds of supplies. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is occasionally exposed to moving mechanical parts. The employee is occasionally exposed to risk of electrical shock. The noise level in the work environment is moderate (i.e. office setting with computers, phones, and printers). Must be able to work in a fast-paced environment.

Must be willing to have a flexible work schedule that may include evenings/weekends, and travel as needed.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified.

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Refine Your Search

member experience specialist jobs in santa maria ca

Medication Claims Reviewer

Aerospace Inventory Specialist

Line Worker

Health, Environmental & Safety (HES) Manager

Conservation Projects Director (Hybrid)

Payroll Specialist

Banking Operations, AVP - Community Bank of Santa Maria

Family Child Care Home Education Network Specialist

Supervising Medical Doctor

Social Worker Early Childhood Bilingual Required #2147

Youth Development Specialist

Accounts Payable Specialist

Embroidery Art Specialist

Military Service - Air Force Reserve, Education & Training

Military Service - Air Force Reserve, Aircraft Structural Maintenance

AI Prompt Engineer & Workflow Specialist

Electronics Application Development Engineer

Military Service - Air Force Reserve, Security Forces

Field Service Specialist II

Payroll Specialist

I want to receive the latest job alert for member experience specialist in santa maria ca

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