- The Support Specialist is a key part of the Concierge Team based in the Narus Member Support Center in Nashville, Tennessee. The Support Specialist, as a part of the multidisciplinary care team, is responsible for compassionately helping patients with the insurance complexities that arise when diagnosed with complex illnesses, recovering from a traumatic clinical event, and/or providing general member support. This role administratively supports the multidisciplinary team by assisting members with navigating the complexities of self-funded insurance, benefits, eligibility inquiries, locating providers and facilities, general customer service assistance, and address non- clinical issues that impact quality of life and outcomes. This is a HYBRID position.
- Providing an excellent member experience through direct communication through high volume inbound and outbound calls and secure messages.
- General Support Specialist duties including:
- Educate members on benefits plans including items such as: deductibles, in/out of network inquiries and other benefit questions.
- Assist in preventing and/or resolving delay in care by educating providers/facilities on RBP insurance.
- Confirm the deployment and receipt of ancillary services such as home health, DME, radiology, and community based social services.
- Aid and resolve patient issues regarding locating accepting providers.
- Maintain case load in a timely manner.
- Perform appropriate triage and escalation of routine and urgent patient calls to the clinical team when appropriate.
- Calls external facilities and providers to execute on care plan issues for patients.
- Make outbound patient calls to coordinate non-clinical patient needs.
- Assist care team with locating community resources for our patients.
- Assist office-based team with faxing, documentation, and telephonic/virtual support of care management priorities.
- Participate in weekly team meetings and bi-weekly one on ones.
- A minimum of two (2) years of related experience or equivalent, preferably in a physician office or clinical call center.
- High school diploma required.
- 1 week in-office training required in Nashville, TN.
- Patient, compassionate, and professional personality with a strong service orientation.
- Demonstrated problem solving skills.
- Proficient on Microsoft Office programs, EMR/Care Management platforms, and keyboarding.
- Demonstrated knowledge of legal and ethical issues related to confidentiality, including HIPAA and state specific privacy laws.
- Knowledge of Reference-based pricing (RBP) and understanding the relationship between self-funded insurances and third-party administrators preferred.
- Understanding of insurance benefits included deductible, out of pocket, copays, etc.
- Commitment to excellence and high standards.
- Ability to analyze complex data, draw conclusions, and act on that information in a timely manner.
- Ability to apply problem-solving techniques to the case management process.
- Excellent time management, flexibility, and organizational skills with the ability to work independently.
- Critical thinking and good judgement to quickly determine and prioritize issues.
- Good communication, teamwork, and interpersonal skills with the ability to work with all levels of management.
- Prior telephonic patient engagement or care coordination experience required.
- Coordinate multiple tasks simultaneously
- Understand and respond to a diverse population
- Perform some repetitive motion activities
- Sit for extended periods of time
- Required close vision and the ability to adjust eye focus often
- Required to communicate vocally and hear using a standard telephone device
- Required to reach with hands and arms
- Requires minimal weight to be lifted (not more than 10 pounds) or force exerted on a regular basis.
- Requires additional weight to be lifted upon issuance and/or removal of computer equipment (up to 40 pounds)
- Required to communicate electronically
- Occasionally required to stoop, kneel, crouch, and crawl
- While performing the duties of this job, the employee will not regularly work in wet or humid conditions, endure extreme cold or heat or outdoor (non-weather) unless they are traveling between work sites. The employee will not function near moving mechanical parts, or work in high, precarious places
- Noise Level The noise level in the employee's work environment is usually quiet to moderate
- Travel Regular business-related travel is not required for this position
-
IT Support Specialist
1 week ago
FirstBank Nashville, United StatesDescription · Position Summary: Associate must provide top quality IT Support to all employees throughout the FirstBank organization. This IT support includes responding to incoming incidents via multiple contact points and remote IT problem solving, coordinating hardware and so ...
-
Support Specialist
1 week ago
JobsRUs Nashville, United States· is seeking to hire a Support Specialist for our client in Nashville, TN · Benefits Available · Weekly Pay · $16.00/Hour · EXPERIENCE · 3 years as legal or administrative assistant experience preferred · Specialty: Cardiac Progressive Care · CERTIFICATIONS · ACLS / BLS , Cer ...
-
IT Support Specialist
41 minutes ago
Elmington Nashville, United StatesJob Description · Job DescriptionPOSITION SUMMARY · The IT Support Specialist plays a crucial role in ensuring the smooth operation of our organization's IT systems and providing exceptional technical support to our internal users. This position involves diagnosing and resolving ...
-
IT Support Specialist
1 week ago
Enterprise Solutions Nashville, United StatesJob Description · Job DescriptionEnterprise Solutions is seeking a motivated IT professional to join our team. This applicant must have excellent organizational skills, be detail-oriented, have an ability to handle multiple priorities, a solid understanding of systems and network ...
-
Junior Support Specialist
2 days ago
Medasource Nashville, United StatesPosition: Junior Support Specialist · Duration: 6-month contract to hire · Start Date: June 2024 · Location: Nashville, TN (Hybrid) · Onsite: 2 days per week · Remote: 3 days per week · Company Overview: · Our client is a leading enterprise healthcare system dedicated to deliveri ...
-
Business Support Specialist
2 weeks ago
WTW Nashville, United States Full timeThe Business Support Specialist is responsible for managing Willis Towers Watson North America Associate and Entity insurance licenses. She/he provides information and instructions related to procedures, processes, license applications and provides answers and directions to Retai ...
-
Desktop Support Specialist
3 weeks ago
IDR, Inc. Nashville, United StatesIDR is seeking a Desktop Support Specialist to join one of our top clients in Nashville, TN. This is an ONSITE, long-term contract position If you are looking for IT Support roles with large organizations, please apply today · Key Responsibilities: · Performs desktop computer su ...
-
Case Support Specialist
5 days ago
Bethany Christian Services Nashville, United StatesCase Support Specialist · Requisition # : req13408 · Location: Nashville, TN · Hours: Full-Time (40 Hours/Week) · This is a Bilingual Position (English/Spanish) · Bethany is changing the world through family. We began our work by serving one child more than 75 years ago. Toda ...
-
Resident Support Specialist
2 weeks ago
Center for Nonprofit Management Nashville, United States Full timeJob Responsibilities · Supports Residents who may be in independent housing for the first time, creating a smooth transition towards independent living in a community. · Works with the Resident Support team to help provide behavioral and/or mental health assessments to determin ...
-
IT Site Support Specialist
5 days ago
Omni Inclusive Nashville, United StatesIT Site Support Specialist who will manage technical support services to all employees in supported offices. This is a hands-on role where the resource will provide both remote and desktop support as well as assist with projects like storage implementation, server and network upg ...
-
Desktop Support Specialist- 2203612
2 weeks ago
AMS Staffing Inc. Nashville, United StatesPlease send resume in WORD format should you be interested in the following Desktop Support Specialist position with our client in Nashville TN. This is a full-time, direct-hire position with a salary between $50-60K with awesome benefits. If you're not interested, please pass al ...
-
CRM Support Specialist
2 weeks ago
Professional Staffing Services Nashville, United StatesBusiness Management: Support business activities related to execution of key initiatives such as reporting, financial management, and resource planning Ability to think strategically about how regular business activities fuel the progress of a broad, Support Specialist, Support, ...
-
Case Support Specialist
3 days ago
Bethany Christian Services Nashville, United StatesThis is a Bilingual Position (English/ Spanish) Bethany is changing the world through family. We began our work by serving one child more than 75 years ago. Today, Bethany is an international Christian nonprofit partnering with communities in more th Support Specialist, Support, ...
-
Member Support Specialist
3 weeks ago
DayTwo Nashville, United States???? **Privacy Notice** · **Member Support Specialist** · Nashville, TN / Operation Operations / Full Time **We are looking for an experienced Member Acquisition** **Specialist to join our growing organization.** Youll be part of the Enrollment engine thats defining the DayTwo ...
-
Sr. IT Support Specialist
3 days ago
Revance Therapeutics, Inc. Nashville, United States**Sr. IT Support Specialist** · at Revance Therapeutics Nashville, TN **Job Summary** · The Sr. IT Support Specialist will act as site lead and provide onsite (with some remote) desktop technical support for Revance Therapeutics staff located in the Nashville Office. As a membe ...
-
Technology Support Specialist
5 days ago
Sitechtr Nashville, United States**Technology Support Specialist SITECH** **JOB PROFILE** The Regional Technology Support Specialist will provide primary assistance, support and training for SITECH Tri-Rivers customers in a designated territory. This roll will provide secondary support for other SITECH Tri-River ...
-
Customer Support Specialist
1 week ago
Wilson Language Training Nashville, United StatesCustomer Support SpecialistDepartment: Customer SupportLocation:Wilson Language Training is looking for a Customer Support Specialist to join the team. This role focuses on high quality interactions with customers via telephone, email, and online chat. Communicating product and s ...
-
Client Support Specialist
4 days ago
Keller Williams College Park Nashville, United StatesJob Description · Job DescriptionSalary: $30.19 Hourly DOE · As our client Support Specialist you will be responsible for providing first-class customer service to our clients via phone, email and other channels. This role requires the ability to troubleshoot and solve technical ...
-
Technical Support Specialist
2 days ago
Barn2Door INC Nashville, United States**Technical Support Specialist (I) - Nashville** · Nashville, TN · Full-Time · Support · Technical Support Specialist (I) - Nashville · **About** · Barn2Door is rated by Built-In Seattle as one of the Top 50 Small Businesses to Work For (<100 Employees). Headquartered in Se ...
-
Case Support Specialist
5 days ago
Bethany Nashville, United StatesCase Support Specialist · Requisition #: req13131 · Location: Nashville, TN · Hours: Full-Time (40 Hours/Week) · This is a Bilingual Position (English/Spanish) · Bethany is changing the world through family. We began our work by serving one child more than 75 years ago. Today, ...
Support Specialist - Nashville, United States - Lucent Health Solutions, Inc.
Description
Support Specialist (HYBRID)Nashville, TN
Irving, TX
Appleton, WI
Role Summary
The Support Specialist supports the multidisciplinary care team by ensuring seamless delivery of the Narus program for individuals and their families by providing the following services:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Physical and Mental Requirements:
The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to do the following:
The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
We offer a competitive, comprehensive benefits package that includes Health, Dental and Vision Insurance, Employer-paid Life, Supplemental Life and AD&D, Voluntary STD, Accident, and Critical Care Insurance, discounted Auto, Home, Renter, and Condo Insurance, Wellness, EAP Services, Paid Training, and Paid Vacation and Holidays.
AN EQUAL OPPORTUNITY EMPLOYER
