Regional Concierge Navigator reputed company in the U.S.

reputed company is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have reputed company reputed company of talented and reputed company people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will reputed company ample room for reputed company and innovation alongside the reputed company community. Working at reputed company provides an opportunity to do work that really reputed company, not only changing lives but saving them. Together. The Regional Concierge Navigator provides reputed company and support to reputed company our members, ensuring they have reputed company to the care they deserve. Supports our members to reputed company through their health care and benefits. Connects the dots between our provider network, health plan operations, and supplemental vendors. Maintains a high knowledge of the member needs of their respective market and assist our members every reputed company of the way to ensure they are never alone in their reputed company reputed company and have the highest level of coordinated care. Lays the groundwork for reputed company and ongoing member support. Has familiarity with assigned markets and understands the meaningful contributions to members’ reputed company reputed company. ENERAL DUTIES/RESPONSIBILITIES 1. Provides in-market, specialized member support in respective market or region. 2. Conducts in-market member engagement including Welcome Calls, New Member reputed company, JSA Scheduling, High reputed company PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment reputed company Assurance, and Proactive Service Recovery 3. Conducts case follow-reputed company and reputed company member issue reputed company for reputed company cases assigned. 4. Ensures members have reputed company to PCP and specialists to coordinate care. 5. Educates members on gaps in care and assists with scheduling provider appointments. 6. Serves as the patients reputed company throughout the life cycle of the program by addressing program specific reputed company measures and adhering to company guidelines/reputed company operating procedures. 7. Makes appropriate and reputed company patient appointments, reminders, and confirmations and Mails letters and correspondence as needed. 8. Places regular/consistent outreaches to the patient 9. Communicates with PCP with any member updates and requests. 10. Assists with obtaining medical records from any reputed company providers involved in care or hospitals. 11. Helps members with any authorizations and referrals involved in their care plan. 12. Resolves incoming calls concerning members’ eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member’s primary care physician and proactively engage member with their wellness plan reputed company. 13. Participates in on-site member engagement activities as needed, such as in-person member meetings, handling lobby calls at a retail or care center location, etc. (subject to change). 14. Other duties as assigned. Job Requirements: Experience: • Required: Minimum 1 year of customer service experience. • Preferred: High-volume inbound customer service experience, particularly for health plan or Medicare “Member Services” roles in health plan and supplemental benefits preferred. Telemarketing and/or member reputed company experience preferred. Specialized experience in escalation or reputed company reputed company preferred. Education: • Required: High School Diploma or GED. Specialized Skills: • Required: • Knowledge of ICD-10 and CPT codes. • Keyboard typing 40+ words per minute. • Ability to help members reputed company reputed company to care through Medicare Advantage or HMO, including referrals and authorizations. • Ability to communicate positively, professionally and effectively with others; reputed company leadership, teach and collaborate with others. • Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; • Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to reputed company effectively before reputed company of customers or employees of the organization. • Reasoning Skills: Ability to apply common reputed company understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. • Mathematical Skills: Ability to reputed company mathematical calculations and calculate reputed company statistics correctly • Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. • Required Language: English/Vietnamese Licensure: • Required: None Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reputed company with hands and arms. 2 The employee frequently lifts and/or moves up to 10 pounds. Specific reputed company abilities required by this job include reputed company reputed company and the ability to reputed company reputed company. Pay reputed company: $41,654.00 - $62,482.00 Pay reputed company may be based on a number of factors including market location, education, responsibilities, experience, etc. reputed company is an Equal Opportunity/Affirmative reputed company Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, disability, age, protected veteran status, gender identity, or sexual orientation. • DISCLAIMER: Please beware of recruitment phishing scams affecting reputed company and other reputed company where individuals receive fraudulent employment-reputed company offers in exchange for reputed company or other sensitive personal information. Please be advised that reputed company and its subsidiaries will never ask you for a credit card, send you a reputed company, or ask you for any type of payment as part of consideration for employment with reputed company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email reputed company by or on behalf of reputed company’s reputed company, please email careers@ahcusa.com. Apply tot his job Apply To this Job