Health Assistant - Claims and Benefits Accolade
Are you ready for a new challenge?
As an Accolade Health Assistant, you will be a trusted go-to health resource who helps our clients with any issues related to their health or health benefits. You?ll have the opportunity to help clients get the right care at the right time? no problem is too big or too small.
As a specialist in claims and benefits you will work to provide your colleagues accurate and timely solutions to their clients? problems while coaching and developing AHAs and improving our claims and coverage content and processes.
This job requires critical thinking, creative problem solving and the consistent application of discretion and good judgment, as well as a high degree of organization.
Answer inbound and place outbound calls on the following topics:
Be a great Accolade Health Assistant, and in particular a role model for other AHAs in resolving claims and benefits issues for and with clients
Act as trusted source of complex claims and benefit questions for internal customers
Act as liaison to health plans and providers to solve complex claims and coverage issues and get claims processing/payment issues corrected
Educate AHAs in helping them better understand claims and benefit question resolution, both in helping with specific client issues and in new hire and ongoing training
Identify opportunities to improve how we resolve claims and benefit issues, including improvements to MRM, workboxes, our benefits, and other tools and resource
Collaborate with Accolade team mates to deliver best possible service experience for Accolade clients
Collaborate with health plans and providers to deliver best possible service experience for our clients and encourage future collaboration with health plans and providers
Bachelors? Degree or 5 years? relevant, progressive experience
Desired Qualifications and Experience:
Demonstrated success as an Accolade Health Assistant
A thorough understanding of health care delivery and previous experience with medical benefits from either provider or payor side is a necessary qualification for this role, but must be coupled with the ability to be flexible and open to change since Accolade?s philosophy and operations are so different from these traditional settings
Examples of prior job experience/expertise:
Health Plan Business/benefit Analyst
Health Plan Quality Assurance
Practice Management or Hospital ? Billing Supervisor/Manager familiar with all bill types and national account billing
Desired Personal Characteristics:
Possess excellent communications skill and the ability to convey passion and enthusiasm
Possess superior ingenuity, judgment and problem solving skills
Strong ability to engage teammates to solve issues for clients
Organized, dependable and meticulous
Flexible with a high tolerance for ambiguity
The ability for self-reflection and the capacity to accept and utilize feedback is essential
Must be computer literate at an intermediate or advanced level
Must display honesty and integrity
Must be comfortable working in a telephonic environment with clients, health plans, and providers
||Plymouth Meeting, PA |