Clinical Support Specialist (Remote)

Posted 3 Days Ago
Be an Early Applicant
Hiring Remotely in Massachusetts, USA
Remote
41K-66K Hourly
Junior
Healthtech • Insurance
The Role
Provides post-visit clinical support by answering non-urgent patient and lab questions, coordinating referrals and follow-up care, managing medical records and clinical inboxes, conducting outreach, escalating concerns to licensed providers, and supporting nurses and external care teams. The role also processes documentation, connects patients with community resources, maintains confidentiality, and participates in quality improvement initiatives.
Summary Generated by Built In

Job Summary:
The instED Clinical Support Specialist is responsible for facilitating effective post-visit care and support for instED patients. This positioin is accountable for the patient's care on the day of the visit and to link the patient to crucial follow-up care, as well as any non-clinical support they may need to secure that follow-up care.
Essential Functions:

  • Field lab-related questions from several different lab vendors, patients, and providers
  • Respond to patient calls regarding test results, prescriptions, and other non-urgent clinical matters
  • Monitor and respond to Clinical Support email inbox and escalate to nursing team, as indicated
  • Cross-train as a Mobile Health Coordinator to conduct intakes and process requests for referrals
  • Review, validate and process medical records requests from patients in a timely manner
  • Ensure instED visit notes are consistently sent to patients’ PCP and other pertinent care providers and connect PCPs to clinicians when necessary
  • Conduct follow-up phone calls to patients after an instED visit, as directed by the nurses and providers
  • Manage the administrative aspects of the Athena clinical inbox
  • Follow-up on safety concerns reported by mobile health provider workforce
  • Maintains knowledge of community resources in MA
  • Initiate and facilitate patient referrals to various community organizations and primary care providers in their health plans’ networks
  • Provide ongoing daily administrative support to the Clinical Resource Center nurses as directed
  • Coordinate follow-up care with external care teams, as directed by the Virtual Medical Control providers
  • Transfer/escalate issues to licensed independent practitioners as appropriate
  • Document and report on successful and unsuccessful patient outreach
  • Participate in quality and process improvement initiatives
  • Perform any other job related duties as requested.

Education and Experience:

  • High School or GED required
  • Bachelor's degree preferred
  • Completion of a Medical Assistant, Community Health Worker, or similar training program required
  • Two (2) years of working in a health care setting as a Medical Assistant, Community Health Worker, or similar position required
  • Experience reviewing and responding to ADT data from health plans preferred

Competencies, Knowledge and Skills:

  • Ability to effectively work with patients, colleagues, and vendors that are diverse, including but not limited to race, ethnicity, color, gender identity, age, socio-economic status, disability
  • Proficient knowledge of medical terminology, including health insurance terms and concepts
  • Proficiency in Microsoft Office Suite – Outlook, Word, Excel, Teams
  • Competence working within an electronic medical record
  • Ability to maintain strict confidentiality handling sensitive medical information
  • Ability to provide compassionate customer service
  • Ability to recognize and escalate urgent or emergent issues timely
  • Familiarity with preferred methods of communication and telecommunications guidelines
  • Bilingual/bicultural Spanish
  • Motivational interviewing
  • ability to navigate social and community services
  • Data analysis and reporting

Licensure and Certification:

  • Certified Medical Assistant preferred

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time
  • Travel is not typically required

Compensation Range:

$41,200.00 - $66,000.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Hourly

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business


 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-PB1

 

Brand=CareSource

Skills Required

  • High school diploma or GED
  • Completion of a Medical Assistant, Community Health Worker, or similar training program
  • Two years of experience working in a healthcare setting as a Medical Assistant, Community Health Worker, or similar role
  • Bachelor's degree
  • Experience reviewing and responding to ADT data from health plans
  • Bilingual or bicultural Spanish capability
  • Certified Medical Assistant certification
  • Knowledge of medical terminology, health insurance terms, and concepts
  • Experience working within an electronic medical record
  • Proficiency with Microsoft Office Suite, including Outlook, Word, Excel, and Teams
  • Ability to recognize and timely escalate urgent or emergent issues
  • Motivational interviewing skills and ability to navigate social and community services
  • Data analysis and reporting skills

CareSource Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CareSource and has not been reviewed or approved by CareSource.

  • Strong & Reliable Incentives — Bonuses are regularly available and serve as a meaningful part of total compensation. Annual performance-based awards are considered a strong component.
  • Leave & Time Off Breadth — PTO starts around four weeks and increases with tenure, complemented by paid holidays and a floating day. Volunteer time expands the available leave options.
  • Affordable Benefits — Health plan options are considered affordable, supported by wellness incentives that can reduce premiums. Coverage breadth includes medical, dental, vision, and cost‑lowering programs.

CareSource Insights

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The Company
HQ: Dayton, OH
3,668 Employees

What We Do

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life"​ section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码

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