Personal Health Advocate

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Health Advocate

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

Healthcare Insurance

Health Advocate is a company dedicated to making healthcare easier for organizations and their members. Utilizing a combination of personal support, data, and technology, they offer a whole-person approach to improve health outcomes, reduce absenteeism and presenteeism, and lower costs. Their services include health advocacy and navigation, clinical care management, emotional health support, and personalized well-being programs. Health Advocate caters to over 12,500 organizations, offering 24/7 support in over 250 languages and ensuring HIPAA compliance and NCQA certification.

📋 Description

• Receive calls from members in regards to various healthcare issues (e.g., infertility, disease, medication, etc.) and determine best course of action/s to assist the members while adhering to established policies, procedures, and key performance indicators (KPIs) • Build relationships with members in order to collaborate and develop plans of action by going above and beyond members’ initial requests • Assist and educate members in understanding their medical conditions, associated health testing, test result interpretation, and health options available to them • Provide members choices in medical care providers and services based on the members’ clinical needs, geographic locations and available benefit offerings • Research providers through credentialing, education checks and affiliations with notable medical centers within the member’s plan • Facilitate communication among members, treating physicians, and insurance carriers • Document cases in the department’s case management system using approved processes and procedures • Keep up-to-date on patient care procedures which include diagnosis, pre-certification, prior authorization, pre-service and post-service denials • Continuously stay up to date on various health issues and medical procedures necessary to offer top of the line feedback to members • Mentor new team members

🎯 Requirements

• BSN or RN degree from an accredited college or university required • Minimum three to five years clinical and/or medical management experience • Active and unrestricted State or Multi-State RN License • Understanding of medical terminology to assist in locating appropriate care options • Strong Communication skills and phone etiquette • Strong ability to explain complex issues to employees/retirees • Highly effective listening skills • Strong problem solving/issues resolution skills • Excellent customer service and customer resolution skills • Organizational and administrative skills • Experience with Microsoft Word and Excel • Ability to work in a team environment

🏖️ Benefits

• Helping people every single day • Training provided to do jobs well • Supportive and friendly work environment • Opportunities for growth and career advancement