Company Description
WHO IS GUIDEHEALTH?
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
Job Description
Our Customer Service Representatives are responsible for answering the phones in a timely manner, being a skilled problem solver, have the ability to work well with others along with meeting set quality standards. Be courteous and professional while providing information to callers. Plus additional projects and assistance with mailing projects as needed.
WHAT YOU’LL BE DOING
- Assuring the accurate and timely handling of client and member calls with total follow through
- Providing excellent customer service
- Answering client and provider questions including, but not limited to claims payment, status and coverage information
- Interpreting client health plan protocol
- Reviewing claims status and providing status to member.
- Check tracer documentation
- Maintaining accurate and complete call documentation
- Maintaining high level of professionalism
- Returning incoming calls
- Other duties as assigned
Qualifications
WHAT YOU'LL NEED TO HAVE
- Minimum of 2 years experience in a high volume healthcare call center required
- Knowledge of healthcare claims review
- Health Care/Health insurance background required.
- Experience with BCBS HMOI or other insurance plans a plus
- Use of multiple systems including Teams and Excel, Jira is a plus
- Excellent verbal and written communication skills
- This role is for part time hours. Must be available for an 4-5 hour shift between 8am to 6pm Central Time Zone.
WHAT WE WOULD LOVE FOR YOU TO HAVE
- HMO Managed care Medicare Advantage experience.
- Experience with multiple customer service channels including chat, text, virtual assistant.
Additional information
The base pay range for this role is between $19.00 to $20.00 per hour, paid bi-weekly
Additional Information
All your information will be kept confidential according to EEO guidelines.
COMPENSATION:
The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.
OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT
Diversity, inclusion, and belonging are at the core of Guidehealth’s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment.
OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA
This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager.
REMOTE WORK TECHNICAL REQUIREMENTS
Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The recommended internet speed is a minimum of 50 mbps download, 10 mbps upload. Please consult with your internet provider or run a speed test here to confirm your internet connection meets these requirements.
