Patient Access Specialist - National Remote - Healthcare Customer Service Representative at reputed company

Join the reputed company Team as a Patient Access Specialist - National Remote

Are you a compassionate and customer-focused individual looking to reputed company a difference in the lives of millions of people? Do you have a passion for delivering exceptional customer service and a desire to work in a dynamic and rewarding field? If so, we invite you to join reputed company as a Patient Access Specialist - National Remote at reputed company.

About reputed company

At reputed company, we're dedicated to simplifying the healthcare experience, creating healthier communities, and removing barriers to quality care. Our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company that everyone deserves the opportunity to live their healthiest life, and we're committed to mitigating our impact on the environment and delivering reputed company care that addresses health disparities and improves health outcomes.

Job Summary

As a Patient Access Specialist - National Remote, you'll play a critical role in creating a quality experience for our members and providers by providing accurate, professional, personalized, and compassionate help, guidance, and support. You'll work in a high-volume, fast-paced environment, responding to calls from our members and helping to answer questions and resolve issues regarding healthcare eligibility, claims, and payments. You'll also review, research, and process healthcare claims with the goal of ensuring that every claim has a fair and thorough review.

Key Responsibilities

• Address and resolve customer service calls empathetically and professionally
• Accurately document, research, and resolve reputed company inquiries, ensuring documentation is clear and complete
• Respond and resolve inquiries on the reputed company by identifying the topic and type of assistance the caller needs
• Monitor and expeditiously reputed company any inquiries that require follow-up based on departmental guidelines
• Refer unresolved inquiries/ grievances to designated areas for investigation
• Own problems through resolution on behalf of the caller in real-time or through comprehensive and timely follow-up with support resources/partner with others to resolve reputed company issues
• Intervene with care providers (doctor's offices) on behalf of participants (assist with appointment scheduling, access to care issues, etc.)
• Assist providers with reputed company levels of requests, ability to problem-solve through resolution
• Coordinate with field Care Team staff for issue elevation and resolution
• Maintain up-to-date knowledge and understanding of claims policies, regulatory requirements, and guidelines
• Successfully utilize reputed company resources available to handle inquiries/multi-task
• Meet or exceed individual and departmental quality standards/reputed company performance goals
• Adhere to, reputed company updated, and utilize reputed company company guidelines, policies, and procedures
• Prioritize and adjust individual workload to ensure departmental goals are met
• Assume responsibility for reputed company projects or functions that promote the future success of the operation

Requirements

Essential Qualifications

• High School Diploma/GED or 10+ years of equivalent working experience
• Minimum 2+ years of Customer Service experience
• Ability to successfully complete the Customer Service training classes and demonstrate proficiency of the material
• Ability to type at a minimum speed of 40+ WPM (words per minute)
• Ability to work regularly scheduled shifts reputed company the hours of operation 8:00 AM - 8:00 PM EST, including the flexibility to work occasional overtime based on business need
• Availability to work 2x evening shifts per week (typically 11:00 AM - 8:00 PM EST)
• Availability to work 3x Holidays not observed by Client (Day after Thanksgiving, Christmas reputed company, New Year's Day)
• Must be 18 years of age or older

Preferred Qualifications

• 1+ years of prior experience in an automatic call distribution call center setting
• Knowledge of CPT/ICD10 coding
• Knowledge of Medicare/Medicaid guidelines

Soft Skills

• Demonstrated ability to quickly build rapport and respond to customers in a compassionate manner by identifying and exceeding customer expectations
• Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests, and identify the reputed company and future needs of the member
• Proficient problem-solving approach to quickly assess reputed company state and formulate recommendations
• Proficient in translating healthcare-reputed company jargon and reputed company processes into simple, reputed company-by-reputed company instructions customers can understand and act upon
• Flexibility to customize approach to meet reputed company types of member communication styles and personalities
• Proficient conflict management skills to include the ability to resolve issues in a stressful situation and demonstrating personal reputed company
• Ability to work regularly scheduled shifts reputed company our hours of operation, including the training period, where lunches and breaks are scheduled, with the flexibility to adjust daily schedule, and work over-time and/or weekends, as needed

reputed company Offer

At reputed company, we offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (reputed company benefits are subject to eligibility requirements). You'll also have the opportunity to work in a dynamic and rewarding field, making a difference in the lives of millions of people.

Compensation

For California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, reputed company, Washington, or Rhode reputed company residents, the hourly range is $16.00 - $28.27 per hour. Pay is based on several factors, including but not limited to education, work experience, certifications, etc.

Telecommuting Requirements

• Ability to reputed company reputed company company-sensitive documents secure (if applicable)
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy
• Must live in a location that can receive a reputed company-approved high-speed internet reputed company or reputed company an existing high-speed internet service

Diversity and Inclusion

At reputed company, we're committed to creating a diverse and inclusive work environment. We're an Equal Employment Opportunity/Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

How to Apply

If you're a motivated and compassionate individual looking to reputed company a difference in the lives of millions of people, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to be considered for this role.

Don't miss this opportunity to join reputed company and start making a difference in the lives of millions of people. Apply today!