- 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
- Pallet to Waist (6 from floor) > 5 lbs: Seldom up to 10 lbs
- Waist to Waist > 5 lbs: Seldom up to 10 lbs
- Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
- Waist to Overhead > 5 lbs: Seldom up to 10 lbs
- Bilateral Carry > 5 lbs: Seldom up to 10 lbs
- Unilateral Carry > 5 lbs: Seldom up to 10 lbs
- Pushing Force > 5 lbs: Seldom up to 20 lbs
- Pulling Force > 5 lbs: Seldom up to 15 lbs
- Sitting: Frequently
- Standing: Occasionally
- Walking: Occasionally
- Forward Bend - Standing: Seldom
- Forward Bend - Sitting: Occasionally
- Trunk Rotation - Standing: Seldom
- Trunk Rotation - Sitting: Occasionally
- Squat: Seldom
- Stair Climbing: Seldom
- Reach - Above Shoulder: Seldom
- Reach - at Shoulder or Below: Seldom
- Handling: Occasionally
- Forceful Grip > 5 lbs: Seldom
- Forceful Pinch > 2 lbs: Seldom
- Finger/
- Visual Acuity 1 [None = No; Seldom = Yes]: Seldom
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patient services representative associate
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patient services representative associate
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Corewell Health Grand Rapids, MI, United StatesJob Summary · Provides clerical support to assist in the delivery of quality health care services. · Essential Functions · + Serves as a concierge - greets and communicates with patients or visitors, including collecting payments and co-payments. · + Performs clerical functions, ...
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patient service representative associate
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patient services representative associate
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Corewell Health Grand Rapids, United StatesJob Summary · This is a benefit-eligible position. · Provides clerical support to assist in the delivery of quality health care services. · Schedule: Monday, Tuesday, Wednesday, every other Friday · Hours: 8 a.m. to 4:30 p.m. with a couple evening seminars from 10:30 a.m. to ...
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Corewell Health Grand Rapids, United StatesThis is a benefit-eligible position. The starting rate for this position is $16.20 per hour and varies based on experience. · Practice and Culture · We care for women in all stages of their life from adolescents to post menopause. Our patients get the benefit of not only excellen ...
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Corewell Health Grand Rapids, MI , USA, United StatesThis is a benefit-eligible position. · The starting rate for this position is $16.20 per hour and varies based on experience. · Practice and Culture · Family medicine includes patients from newborn to end of life. 20% of the patients seen here are non-English speaking. We do have ...
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patient service representative associate - Grand Rapids, 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 FunctionsPhysical Demands
Hand Dexterity:
Frequently
SITE - Heart & Vascular Center Bradford - Grand Rapids
Department Name
Cardiovascular Medicine - Grand Rapids
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8 a.m. - 4:30 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
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
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