Healthcare Associate (PHRN)
Healthcare Associates are responsible for addressing concerns from clients through both voice and non-voice support channels, depending on business needs. This role involves:
- Customer Support: Providing exceptional customer service by handling inquiries, resolving issues, and offering solutions to clients’ problems.
- Member Helpdesk Support: Assisting members with their healthcare-related questions and concerns, ensuring they receive accurate and timely information.
- Case Management: Managing and documenting cases efficiently, ensuring all client interactions are recorded and followed up as necessary.
- Clinical Support: Offering support related to clinical services, including scheduling appointments, providing information on medical procedures, and assisting with follow-up care.
- Provider Solutions: Collaborating with healthcare providers to ensure smooth communication and resolution of any issues related to patient care.
- Payment Integrity: Ensuring the accuracy of payment processes, addressing discrepancies, and working to resolve any payment-related issues.
- Claims Cost Containment: Assisting in the management and reduction of claims costs through effective communication and problem-solving.
- Analytics: Utilizing data to provide insights and improve service delivery, ensuring a high level of member satisfaction.
Qualifications:
- Strong communication skills, both verbal and written.
- Ability to handle multiple tasks and prioritize effectively.
- Experience in customer service or healthcare support is preferred.
- Proficiency in using computer systems and software applications.
- Strong problem-solving skills and attention to detail.
- Ability to work in a fast-paced environment and adapt to changing business needs.
Benefits:
- Competitive salary and benefits package.
- Opportunities for career growth and development.
- Comprehensive training programs.
- Supportive and collaborative work environment.
