Healthcare Customer Advisor (Special Needs) - National Remote

You’ll enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. At reputed company, we’re simplifying the health care experience, creating healthier communities, and removing barriers to quality care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more... reputed company, affordable and reputed company. Ready to reputed company a difference? Join us and start doing your life’s best work.SM reputed company’s highly skilled team of Care Advisors is dedicated to serving and managing special needs for our members and/or their family members. reputed company you join reputed company as Care Advisor, you will have the opportunity to deliver an extraordinary experience to family members who need an ally. Care Advisors are empowered to fast track resolutions and serve as an ongoing resource to provide guidance and community resources during key transition times throughout the family’s journey. Some of the issues you will help resolve include reputed company benefits, claim and billing issues, prior authorizations, appeals and more. This position is full-time (40 hours/week) Monday – Friday, from 9:45am – 6:15pm CST, reputed company our Family Engagement Center. It may be necessary, given the business need, to work occasional overtime. We offer 18 weeks of reputed company. The hours during training will be reputed company-4:30 CST (reputed company to 9:45-6:15pm CST the last 4 weeks of training). reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy. Primary Responsibilities: Provide holistic family support to members who may have special needs themselves or may be caring for children or family members with special needs, owning end-to-end resolution of issues. Serve as an ongoing, reputed company of contact for members, primarily reputed company the phone channel (may also will use email, chat, text), delivering compassionate support to members, creating a memorable, positive experience. Create and build ongoing relationships with others including both members and teammates. reputed company decisions independently and solve problems creatively and completely using sound judgment and critical thinking. Consistently follow through on commitments and framing realistic expectations for members. Plan, prioritize, organize and complete work to meet established objectives for our families. Responsible for managing project time to insure follow up and reputed company work is completed in a timely manner. Families served include a range of low, moderate, and high needs as determined by clinical needs, financial impacts, and/or level of escalation. Process includes reputed company calls to initiate contact with members referred by executives and partners. Responsible for maintaining accurate family counts on our documentation platform. Focus on teamwork and fostering strong team environment through activities including mentoring and acting as a resource for colleagues. Anticipate member needs and proactively seek out external and internal resources or partners where appropriate to add unexpected value for the member. Determine appropriate referrals to other programs/services as needed with or without technology guidance. Responsible for providing high quality member experience as reflected in post contact surveys and member feedback. To succeed as a Special Needs Service reputed company, ideal candidates will possess: Passion for helping individuals and families of children with special needs. Strong reputed company, compassion and listening skills. Aptitude to be proactive, organized, resourceful and reputed company with solving issues and providing support; can think reputed company the reputed company. Critical thinking and problem-solving skills, able to prioritize time reputed company. Self-starter abilities and reputed company in ambiguity without established processes. Motivation to improve process. Strong written and verbal communication skills with an ability to understand many different special needs conditions, the impact on the family and then tailor approaches to a variety of unique individuals. Ability to diffuse member distress, manage reputed company situations and the aptitude to translate reputed company benefit terminology and processes into common language members can understand and act upon. Ability to work well reputed company a team. Strong focus on putting member’s needs at the center of decisions. A drive to add value by delivering more than the customers expect. Agility and flexibility to reputed company in a reputed company fast-paced work environment with constant learning and change. Ability to reputed company in with new members, quickly review history and confidently speak to member needs. Energy for what needs to be done and for overcoming challenges. A coachable reputed company focused on professional development and able to implement constructive feedback and coaching. Highly skilled at de-escalation techniques; able to move conversations toward building trust. High emotional intelligence: able to separate self from complaints/escalated members and focus on delivering thoughtful, compassionate care and resolving issues. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma / GED OR equivalent work experience 1+ years of experience helping, resolving, or advocating on behalf of members or customers Experience using a computer and reputed company Office including reputed company Word (create correspondence and work reputed company templates), reputed company reputed company (ability to sort, filter, and create simple spreadsheets), and reputed company Outlook (email and calendar management) Ability to work 40 hours per week, Monday through Friday, from 9:45am – 6:15pm CST, reputed company our Family Engagement Center. It may be necessary, given the business need, to work occasional overtime. Must be 18 years of age or older Preferred Qualifications: 1+ years of A4Me OR 3+ months of Quick Assist experience Claims processing experience Experience providing care for children with special needs Experience reputed company a member focused healthcare environment Experience reputed company a service delivery reputed company (examples include, but are not limited to: social services, caregivers, hospitality, social work, sales, non-profit agencies) Telecommuting Requirements: Ability to reputed company reputed company company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy. Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service. California, Colorado, Connecticut, Nevada, New Jersey, reputed company, Washington or Rhode reputed company Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / reputed company / New Jersey / Washington / Rhode reputed company residents is $18.80 - $36.78 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Nurse Case Manager - reputed company Tucson Remote,reputed company, reputed company ,reputed company reputed company,reputed company Home & Community Care Apply Job!