- Responding to inbound calls promptly and with expertise.
- Addressing member inquiries regarding benefits, claims, and coverage.
- Empowering members to navigate their complex healthcare services.
- Coordinating patient referrals and managing relationships with referral partners.
- Researching and directing calls to appropriate vendor partners.
- Assisting members in accessing high-quality, cost-effective healthcare services.
- Collaborating cross-departmentally to resolve complex member issues.
- Documenting all interactions accurately and thoroughly.
- A Bachelor's degree in healthcare, social work, or a related field (preferred).
- At least 1 year of experience in healthcare customer service, preferably in a multifaceted environment.
- Exceptional communication skills, both verbal and written.
- Resourcefulness and adaptability in a fast-paced setting.
- Strong attention to detail and documentation accuracy.
- Empathy and compassion towards our members' needs.
- Proficiency in Microsoft Office and familiarity with medical terminology.
- Fluency in Spanish is a plus.
- A primarily remote work environment with occasional in-office meetings.
- Competitive salary and comprehensive benefits package.
- Ongoing training and support to enhance your skills.
- The opportunity to make a meaningful difference in people's lives every day.
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HCA , TX, United StatesIntroduction · This navigation position is based out of Corpus Christi Medical Center and focuses on Breast/GI/Lung oncology patients. · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Adult Oncology Nurse Navigator with ...
Health Care Benefits Navigator - Round Rock, United States - Ultimate Staffing
Description
Join our dynamic healthcare organization as a Health Care Member Advocate, where you'll play a pivotal role in guiding individuals through their healthcare journey. Located in Round Rock, Texas, with the flexibility of remote work, this position offers the perfect blend of compassion, expertise, and opportunity for growth.
Who We Are: We're more than just a healthcare provider - we're advocates for our members' well-being. As a bridge between members and their insurance benefits, we offer unparalleled support, often at $0 out-of-pocket cost. From answering benefit inquiries to facilitating access to top-notch medical services, we're dedicated to empowering individuals to make informed healthcare decisions.
Your Role: As a Health Care Member Advocate, you'll be the friendly voice on the other end of the line, providing invaluable assistance and guidance to members, healthcare providers, and internal teams. Your responsibilities include:
Qualifications: We're seeking candidates with:
Why Choose Us: We understand the importance of work-life balance and offer:
If you're passionate about customer service and making a positive impact in healthcare, we invite you to apply for this fulfilling opportunity. Join us in empowering individuals to take control of their health and well-being.
All qualified applicants will receive consideration for employment without regard torace, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status.We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
