Care Concierge I
Core
Providing telephonic guidance and support to healthcare consumers shopping for elective surgical or medical procedures at cost-effective facilities.
Role type
Customer service representative (healthcare financial guidance)
Builds
Member engagement and transparency solutions for health plans and employers
Domain
Healthcare financial services / Insurance claims administration
Deliverable
client delivery
Required skills
telephonic communication, active listening, healthcare literacy, analytical thinking, problem-solving, multitasking, time management, insurance claims knowledge, medical coding familiarity
Preferred skills
CRM systems usage, healthcare claims lookup systems, Microsoft Office, bilingual English/Spanish
Technologies
Salesforce, Microsoft Office, call center telephone systems
Responsibilities
Answer inbound calls regarding medical procedure shopping, document and communicate information to consumers, research and report member incentive inquiries, utilize internal databases for claim history and shopping codes, correspond with health insurance carriers to validate claim status, monitor and maintain inquiry case status, reinforce consumer engagement campaigns, participate in staff development and quality metrics, verify reward check status, assist leadership with performance reports, communicate with sites of service regarding billing discrepancies
Seniority
Entry-level, individual contributor