
201 - 500 employees
Founded 2004
🏥 Healthcare
đź’Ľ Consulting
📦 Logistics
Healthcare • Consulting • Logistics
National Healthcare Solutions Group is a Texas-based third-party administrator and benefits management firm that designs, administers and manages self-funded and level-funded medical plans for employers, brokers and members. The company offers ASO (Administrative Services Only) plans, Minimum Essential Coverage (MEC) options, reference-based pricing, medical management, network solutions, price transparency tools, and online portals for employers, brokers, members and providers. It focuses on lowering costs, improving member outcomes, and providing customer service and compliance support for employer-sponsored health benefits.
đź•’ October 2
🇨🇦 Canada – Remote
đź’µ $19 - $24 / hour
⏰ Full Time
🟡 Mid-level
đźź Senior
đź‘» Ghost score 15%
🗣️🇫🇷 French Required
Where this job comes from
Posted on National Healthcare Solutions Group's careers page, not through a job board
First seen by Remote Rocketship October 2
Still open on National Healthcare Solutions Group's site. Checked October 31.

201 - 500 employees
Founded 2004
🏥 Healthcare
đź’Ľ Consulting
📦 Logistics
Healthcare • Consulting • Logistics
National Healthcare Solutions Group is a Texas-based third-party administrator and benefits management firm that designs, administers and manages self-funded and level-funded medical plans for employers, brokers and members. The company offers ASO (Administrative Services Only) plans, Minimum Essential Coverage (MEC) options, reference-based pricing, medical management, network solutions, price transparency tools, and online portals for employers, brokers, members and providers. It focuses on lowering costs, improving member outcomes, and providing customer service and compliance support for employer-sponsored health benefits.
• Respond to incoming medical and non-medical assistance requests by phone and email • Gather essential information, assess operational urgency, and begin coordination according to established guidelines • Open and maintain complete, accurate case and claim records in the CRM • Document contacts, decisions, authorizations, outstanding actions, and follow-up requirements in real time • Read and apply policy benefits, limitations, and service provisions • Coordinate with medical providers regarding access to care, eligibility, coverage inquiries, direct billing, and documentation • Work with Medical Case Management on care coordination and health-risk considerations • Work with Claims on coverage, documentation, and financial-risk matters • Maintain communication with insured persons, corporate clients, assistance partners, medical providers, and internal teams • Monitor open cases, complete follow-ups, identify delays or changing circumstances, and escalate concerns promptly • Build professional relationships with in-network and out-of-network providers • Follow confidentiality, data-protection, regulatory, quality, and internal control requirements • Maintain current knowledge of procedures, systems, client requirements, and professional practices through training and coaching
• High school diploma or equivalent • Three or more years of experience in insurance, assistance, healthcare coordination, travel services, or customer service is preferred • Fluent or native-level English and French, with strong verbal and written communication skills in both languages • Spanish is an asset • Demonstrated customer service skills, empathy, composure, and professionalism in sensitive or high-pressure situations • Strong reading comprehension and ability to interpret policy language, procedures, and case information accurately • Sound judgment, attention to detail, and ability to organize multiple active cases and competing priorities • Proficiency with computer systems and applications, including Microsoft Office • Ability to learn CRM and case-management tools quickly • Accurate, timely data entry and clear written case documentation • Ability to collaborate across functions and cultures while taking personal ownership of assigned work • Ability to work rotating days, evenings, overnight shifts, weekends, and holidays • Dependable attendance, punctual handoffs, and readiness to assume responsibility at the start of each shift
• Dental care • Employee assistance program • Extended health care • Life insurance • On-site parking • Paid time off • RRSP match • Vision care • Inclusive and accessible work environment • Accommodation during the recruitment process
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