Transportation Specialist I

3 days ago

Fairfield, United States Partnership HealthPlan of California Full time
Overview

To facilitate access to medical care by coordinating Non-Emergency Medical (NEMT) Transportation, Non-Medical Transportation (NMT) transportation and travel-related benefits for members. Coordinates care in collaboration with internal and external partners to help members overcome barriers to care created by lack of transportation.

Responsibilities

  • Effectively communicate written and verbally with both members and providers.
  • Works directly with members, transportation providers and medical or social service facilities to coordinate appropriate level and timeliness of transports and travel-related services such as meals, lodging and flights within the DHCS guidelines and Partnership policies.
  • Support and assist members in the resolution of problems with their transportation or travel benefits. Investigates issues using critical thinking and resolves or escalates as necessary.
  • Uses customer service skills to manage member and provider complaints and file grievances or escalate as necessary.
  • Communicate immediate health issues to a clinical member of the Care Coordination team and assist as needed in problem resolution.
  • Communicate non-transportation related needs to the appropriate team for assistance.
  • Establish and maintain effective interpersonal relationships with all levels of health plan staff, other programs, agencies and the general public.
  • Verifies member's eligibility and determines level of program benefit.
  • Verifies transportation drop-off/pick-up locations to ensure adherence with Medi-Cal guidelines and uses critical thinking skills to identify potential fraud, waste and abuse.
  • Elicit medical information from provider, consulting with HS/UM Clinical Staff as appropriate.
  • Contacts provider, verbally and/or in writing to pursue needed information necessary to determine appropriate level of care or authorizations.
  • Generates administrative denial letters timely as per PHC Policy and Procedure
  • Validates member and driver information necessary to process gas mileage reimbursements
  • Documents all cases opened for Transportation in the appropriate platform or database, as
    per protocol.
  • Routes calls as appropriate in a courteous and professional manner from the ACD phone line in the transportation call center.
Secondary Duties and Responsibilities
  • Serves as departmental back-up as directed by Manager/Director.
  • Participates in special projects and assignments as required
  • Working knowledge and understanding of health plan structure and program requirements.
Qualifications

Education and Experience

High School diploma or equivalent required. One (1) year experience in the medical/clerical field; or equivalent combination of education and experience. Experience in phone based customer service.

Special Skills, Licenses and Certifications

Excellent oral communication with problem solving skills. General knowledge of managed care. Ability to work within an interdisciplinary team structure and function in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Effective telephone and computer data entry skills required. Ability to access data and information using automated systems. Bilingual skills in Spanish, Tagalog, or Russian are preferred.

Performance Based Competencies

Excellent written and verbal communication skills. Ability to follow established procedures and protocol. Ability to communicate effectively with coworkers, physicians, and health care providers.

Work Environment And Physical Demands

Daily use of telephone and computer for most of the day. Standard cubicle work station with a shared common area. Ability to use a computer keyboard. Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs.

All HealthPlan employees are expected to:
  • Provide the highest possible level of service to clients;
  • Promote teamwork and cooperative effort among employees;
  • Maintain safe practices; and
  • Abide by the HealthPlan's policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$27.56 - $32.38

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

  • Transportation Specialist

    3 weeks ago

    Fairfield, California, United States California Department of Education Full time

    About the JobThe Solano County Office of Education is seeking a qualified Transportation Specialist to join our team. As a Transportation Specialist, you will be responsible for transporting students to and from school within prescribed routes, as well as transporting students on field trips authorized by school officials and parents.Key...

  • Transportation Specialist

    3 weeks ago

    Fairfield, California, United States California Department of Education Full time

    {"Job Title": "Transportation Specialist", "Job Summary": "We are seeking a reliable and safety-conscious Transportation Specialist to transport students to and from school within prescribed routes. The ideal candidate will have a valid California Driver's License and be able to assure the safety of students while a passenger in the school vehicle.",...

  • Transportation Specialist

    1 day ago

    Fairfield, California, United States California Department of Education Full time

    Job SummaryAs a Transportation Specialist with the California Department of Education, you will be responsible for transporting students to and from school within prescribed routes, while ensuring their safety and well-being. This role requires a valid California Driver's License and the ability to work independently with minimal supervision. Key...

  • Transportation Specialist

    3 weeks ago

    Fairfield, California, United States Solano County Office of Education Full time

    Job SummaryWe are seeking a qualified Transportation Specialist to join our team at the Solano County Office of Education. As a key member of our staff, you will be responsible for safely transporting students to and from school.ResponsibilitiesOperate a school bus or other vehicle to transport students to and from schoolEnsure the safety and well-being of...

  • Behavioral Health Specialist I

    3 weeks ago

    Fairfield, California, United States Turning Point Community Programs Full time

    Job SummaryTurning Point Community Programs is seeking a skilled Behavioral Health Specialist I to provide psychosocial, rehabilitation, and recovery-oriented services to our members. This role involves advocating for members in all areas of treatment, helping them apply for and receive services, and providing support in medication management, resource...

  • Transportation Specialist

    3 days ago

    Fairfield, Ohio, United States Sonida Senior Living Full time

    Driver Opportunity at Sonida Senior LivingWe are seeking a reliable and safety-conscious Driver to join our team at Sonida Senior Living. As a Driver, you will play a vital role in ensuring the well-being and comfort of our residents by providing transportation to appointments and outings.Key Responsibilities:Transport residents to scheduled appointments and...

  • Transportation Specialist

    2 weeks ago

    Fairfield, Ohio, United States Sonida Senior Living Full time

    Job SummarySonida Senior Living is seeking a skilled Driver to join our team. As a Driver, you will be responsible for safely transporting residents to appointments and outings, while also assisting with loading and unloading wheelchairs and walkers.Key ResponsibilitiesTransport residents to appointments and outings in a safe and timely mannerAssist with...

  • Transportation Specialist

    3 days ago

    Fairfield, Ohio, United States The Hertz Corporation Full time

    Job Title: DriverHertz Local Edition is seeking a professional driver to transport our vehicles to various locations while providing exceptional customer service. As a Transporter, you will pick up and drop off customers and deliver vehicles from the Hertz Local Edition office to various locations.Key Responsibilities:Transport vehicles from Hertz Local...

  • Behavioral Health Specialist

    1 week ago

    Fairfield, California, United States Turning Point Community Programs Full time

    Job Title: Behavioral Health Specialist IJob Summary:Turning Point Community Programs is seeking a highly motivated and compassionate Behavioral Health Specialist I to join our team. As a key member of our staff, you will provide psychosocial, rehabilitation, and recovery-oriented services to our members, advocating for their needs and empowering them to...

  • Transportation Specialist

    3 weeks ago

    Fairfield, Ohio, United States Sonida Senior Living Full time

    Job SummarySonida Senior Living is seeking a skilled Driver to join our team. As a Driver, you will be responsible for safely transporting residents to appointments and outings, while also assisting with loading and unloading wheelchairs and walkers. You will maintain the cleanliness and safety of the vehicle, communicate effectively with residents and...

  • Transportation Specialist

    1 day ago

    Fairfield, Ohio, United States Sonida Senior Living Full time

    Job Title: DriverAt Sonida Senior Living, we are seeking a skilled Driver to join our team. As a Driver, you will be responsible for safely transporting residents to appointments and outings, while also assisting with loading and unloading wheelchairs and walkers. You will maintain the cleanliness and safety of the vehicle, communicate effectively with...

  • Transportation Specialist

    2 weeks ago

    Fairfield, Ohio, United States Hertz Full time

    Job SummaryHertz Local Edition is seeking a skilled professional to drive our vehicles to various locations while providing exceptional customer service. As a Transporter, you will be responsible for picking up and dropping off customers, as well as delivering vehicles from our office to various locations.Key ResponsibilitiesTransport vehicles from Hertz...

  • Logistics Specialist

    4 weeks ago

    Fairfield, United States Express Employment Professionals Full time

    Job DescriptionJob DescriptionWe're seeking a detail-oriented Logistics Coordinator to manage our supply chain operations.Key Responsibilities:Coordinate shipments and deliveriesManage inventory and warehouse operationsLiaise with suppliers, carriers, and customersOptimize transportation routes and costsTrack shipments and ensure timely deliveryMaintain...

  • Collision Repair Specialist I

    4 weeks ago

    Fairfield, United States Penske Truck Leasing Co., L.P. Full time

    1st Shift Monday - Friday $31.50 + depending on experience Skills desired: Mechanically inclined, assembly, disassembly, diagnostics, etc. Position Summary: As an experienced Collision Repair Specialist with Penske, you’ll use industry-leading technology and repair techniques – plus cutting-edge diagnostic equipment – to get our customers'...

  • Transportation Specialist

    3 days ago

    Fairfield, CT , USA, United States Central Connecticut Coast YMCA Full time

    Job SummaryThis position supports the mission and work of the Central Connecticut Coast YMCA, a leading nonprofit organization. The Bus Driver provides safe transportation to and from program sites while maintaining a supportive and positive atmosphere that welcomes and respects all individuals.Key ResponsibilitiesTransportation and Safety: Ensure the...

  • Member Service Specialist II

    2 weeks ago

    Fairfield, California, United States Golden 1 Talent Acquisition Team Full time

    Job Title: Member Service Specialist IIWe are seeking a highly skilled and customer-focused Member Service Specialist II to join our team at Golden 1 Credit Union. As a key member of our Branch Channel Delivery team, you will be responsible for providing exceptional service to our members, processing financial transactions, and promoting Golden 1 products...

  • Collision Repair Specialist I

    4 weeks ago

    Fairfield, Ohio, United States Penske Full time

    Job SummaryPenske is seeking an experienced Collision Repair Specialist to join our team. As a key member of our team, you will be responsible for performing all levels of truck collision repair and maintenance services.Key ResponsibilitiesPerform all levels of truck collision repair and maintenance services, including cab/sheet metal repair, fiberglass...

  • Provider Systems Data Specialist II

    3 weeks ago

    Fairfield, United States Partnership HealthPlan of California Full time

    Overview To maintain accurate provider information by entering necessary data elements into several database systems. Works closely with team members and other departments to research and resolve routine and complex issues and inquiries related to provider data. In addition to the Provider Systems Data Specialist I duties, the Provider Systems Data...

  • Program Supervisor I Position

    1 week ago

    Fairfield, California, United States Catalight Full time

    Job Title: Program Supervisor IEasterseals Northern California is seeking a highly skilled and dedicated Program Supervisor I to join our team. As a Program Supervisor I, you will play a critical role in providing direct service to clients and families via Treatment and Behavior Intervention Plan development and implementation, conduct curriculum-based...

  • Mental Health Specialist II

    2 days ago

    Fairfield, California, United States Solano County Full time

    Job Title: Mental Health Specialist IIJoin Solano County's team of dedicated professionals in providing mental health support and counseling services to individuals in need.Job Summary:The Mental Health Specialist II plays a vital role in providing mental health support and counseling services to individuals in need. This position assists in the provision...