- Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.
- Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status.
- Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.
- Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence. Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
- Assists customers with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.
- Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
- Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines.
- Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.
- Required High School Diploma or equivalent
- Preferred Associate's Degree
- 1 year of relevant experience in related field Required
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Corewell Health Kentwood, MI, United StatesJob Summary · Starting pay: $16.73 to $17.50 based on experience. · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an ex ...
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Corewell Health Kentwood, MI , USA, United StatesJob Summary · Starting Pay Rate: $16.73 to $17.50 / hour · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional ...
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Corewell Health Kentwood, MI, United StatesJob Summary · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional experience with each contact, via inbound an ...
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Corewell Health Kentwood, United StatesJob Summary · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional experience with each contact, via inbound an ...
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Corewell Health Kentwood, MI, United StatesJob Summary · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional experience with each contact, via inbound an ...
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Corewell Health Kentwood, MI , USA, United StatesJob Summary · Starting pay: $16.73 to $17.50 based on experience. · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an ex ...
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Corewell Health Kentwood, MI , USA, United StatesJob Summary · Starting Pay Rate: $16.73 to $17.50 / hour · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional ...
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Corewell Health Grand Rapids, MI , USA, United StatesJob Summary · Pay rate starting between $16.73 and $18.00 per hour depending on experience and education plus $1.00 per hour for evening shift differential on weekdays, and $2.00 per hour evening shift differential for weekends. · Assist and educate patients, providers, medical o ...
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Corewell Health Kentwood, United StatesJob Summary · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional experience with each contact, via inbound an ...
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Corewell Health Grand Rapids, United StatesJob Summary · Pay rate starting between $16.73 and $18.00 per hour depending on experience and education. · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navig ...
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Corewell Health Grand Rapids, United StatesJob Summary · Pay rate starting between $16.73 and $18.00 per hour depending on experience and education. · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigat ...
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Corewell Health Kentwood, United StatesJob Summary · Pay rate starting between $16.73 and $18.00 per hour depending on experience and education plus $1.00 per hour for evening shift differential on weekdays, and $2.00 per hour evening shift differential for weekends. · Assist and educate patients, providers, medical o ...
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Corewell Health Grand Rapids, United StatesJob SummaryPay rate starting between $16.73 and $18.00 per hour depending on experience and education plus $1.00 per hour for evening shift differential on weekdays, and $2.00 per hour evening shift differential for weekends.Assist and educate patients, providers, medical office ...
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Corewell Health Grand Rapids, United StatesJob Summary · Pay rate starting between $16.73 and $18.00 per hour depending on experience and education plus $1.00 per hour for evening shift differential on weekdays, and $2.00 per hour evening shift differential for weekends. · Assist and educate patients, providers, medical ...
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Corewell Health Kentwood, MI , USA, United StatesJob Summary · Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional experience with each contact, via inbound an ...
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Corewell Health Grand Rapids, United StatesJob Summary · Pay rate starting between $16.73 and $18.00 per hour depending on experience and education plus $1.00 per hour for evening shift differential on weekdays, and $2.00 per hour evening shift differential for weekends. · Assist and educate patients, providers, medical o ...
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Corewell Health Grand Rapids, United StatesJob SummaryPay rate starting between $16.73 and $18.00 per hour depending on experience and education.Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation qu ...
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patient access rep associate primary care scheduling virtual - Kentwood, MI , USA, United States - Corewell Health
Description
Job Summary
Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions.
Adheres to established procedure and quality guidelines in support of Patient Access Services Center performance indicators, as well as Corporate values and codes of excellence.
Essential FunctionsSITE - Kentwood Medical Office Building Breton Rd - Kentwood
Department Name
Patient Access Service Center - Primary Care
Employment Type
Full time
Shift
Evening (United States of America)
Weekly Scheduled Hours
40
Hours of Work
3:30 p.m. to 12 a.m.
Days Worked
Monday to Friday
Weekend Frequency
Every other weekend
CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community.
We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category.
We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization.
From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.
We invite those that share in our commitment to join our team.You may request assistance in completing the application process by calling
