Job Summary
Assist and educate patients, providers, medical office staff, and / or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions.
Consistently create an exceptional experience with each contact, via inbound and outbound calls, online chat, email, etc.
Adheres to established procedure and quality guidelines in support of Patient Access Services Center performance indicators, as well as Corporate values and codes of excellence.
Essential Functions
Analyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines.
Professional and pleasant interactions are ongoing expectations.
Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status.
Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed.
Assists walk-in members and agents if assigned by leadership.
Adheres to established procedure and quality guidelines in support of Priority Health service promise, key drivers, performance indicators, as well as Corporate values and codes of excellence.
Identifies potential trends or issues that impact health plan members and works with coworkers and leadership resources to suggest process improvements.
Assists customers with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.
Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.
Effectively tracks and / or documents all service interactions with customers within appropriate systems according to guidelines.
Develops and maintains behaviors of productivity, availability to customers, and adherence to work schedule.
How Corewell Health cares for you
Comprehensive benefits package to meet your financial, health, and work / life balance goals. Learn more .
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Relocation assistance (OPTIONAL)
Qualifications
Required
High School Diploma or equivalent
1 year of relevant experience in related field Required
Preferred
Preferred Associate's Degree
About Corewell Health
As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities.
We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope.
Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
Primary Location
SITE - Kentwood Medical Office Building - 4600 Breton Rd - Kentwood
Department Name
Patient Access Service Center - East Radiology
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
Hours of Work
9 to 5 : 30
Days Worked
Monday to Friday
Weekend Frequency
N / A
CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category.
We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization.
As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.
We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling
Patient Access Representative Associate Radiology Scheduling Virtual
Patient Access Service Center - East Radiology. Assist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Adheres to established procedure and quality guidelines in suppor...
Patient Registration Representative - Patient Access * Evenings (2p-12:30a) - 40hrs/wk
Under the direction of the Manager – Patient Access, the Patient Registration Representative is responsible for obtaining demographic and insurance information from patients and/or their representatives to ensure prompt financial reimbursement. Patient Registration Representative - Patient Access * ...
Patient Service Representative - Scheduling
Under the direction of the registered nurse assigned to each patient, this non-licensed team member assists with patient care and other department activities as outlined in this job description, and communicates effectively with the RN responsible for each patient. Patient care performed by a NT inc...
Patient Access Representative Bronson Methodist Hospital Full Time
Patient Representatives are instrumental in ensuring the efficient and effective flow of patient access needs throughout the organization. Patient Access Representative Bronson Methodist Hospital Full Time. Responsibilities may include greeting and registering patients, gathering and entering approp...
Patient Services Representative Associate
Performs patient registration and check-in: confirms patient demographic and insurance information; assists patients with kiosk registration. Serves as a concierge - greets and communicates with patients or visitors, including collecting payments and co-payments. Performs clerical functions, includi...
Patient Registration Representative-Patient Access* Days 40hrs/wk
Under the direction of the Manager – Patient Access, the Patient Registration Representative is responsible for obtaining demographic and insurance information from patients and/or their representatives to ensure prompt financial reimbursement. Patient Registration Representative-Patient Access* Day...
Patient Registration Representative - Patient Access * Days - 30hrs/wk
Under the direction of the Manager – Patient Access, the Patient Registration Representative is responsible for obtaining demographic and insurance information from patients and/or their representatives to ensure prompt financial reimbursement. Patient Registration Representative - Patient Access * ...
Receptionist, Part-Time
Part of a nation wide family of Continuing Care Retirement Communities, Covenant Living is seeking a Receptionist. Is knowledgeable about all office equipment and is able to demonstrate how to use it to other staff, monitors equipment, reports supply need and issues to Lead Receptionist. Support the...
Remote Administrative Assistant (No Experience Required) - Earn $25/hr-$45/hr, Full-Time/Part-Time, Flexible hours
...
Claims Customer Service Representative
Claims Customer Service Representative **Job Number**. Claims Representatives** care for customers recently in accidents by demonstrating empathy while setting up new claim reports; youll also offer customers additional products. Inbound Sales Representatives** share expertise of our Progressive...