Provide extensive health care and case management training to ensure support for members
Advocate for members requiring guidance across the health benefits environment
Gather understanding of members’ needs and own resolution of requests
Educate members on benefit programs provided by clients
Deliver provider recommendations and connections to support informed care decisions
Complete cost estimates and communicate out-of-pocket expectations
Explain prescription options and identify cost-saving opportunities
Connect members to company sponsored health and benefits programs
Provide proactive updates via phone and digital channels
Handle medical bill review results and translate findings into actionable guidance
Draft appeals for healthcare services and coordinate records transfers
Requirements
Minimum of 2 years of experience in a medical assistant/medical support role, or 3 years of experience working in a customer-facing role within the healthcare industry
Ability to work effectively in a remote team environment
Strong listening, reasoning, and analytical skills
Exceptional verbal and written communication skills
Strong ability and desire to learn continually in a changing environment
Exceptional critical thinking and problem-solving skills
Ability to efficiently organize work activities to meet deadlines
Passion to provide the highest level of client satisfaction
Proficiency in MS Office suite
Benefits
A full Benefits Package, starting on your first day of employment
Health, Dental, Vision, Life Insurance and more
A 401k plan that includes a corporate match
Paid Time Off 10 paid holidays per calendar year (8 fixed and 2 floating)
6 paid wellness days
Career Development & Growth: Ongoing training, coaching, and development specific to the Health Pro role