Care Champion

Overview

Want to be a part of a Nashville startup that is revolutionizing healthcare? Ours is a platform for self-insured employers to reduce cost and risk and provide employees personalized concierge care services. Our company gives our members access to benefits experts and clinicians and provides fast, reliable answers to well-being and healthcare questions. OVERALL JOB PURPOSE This position is a key member of the team, the quarterback of member care. Care Champion’s purpose is to provide members with a personal touch to care coordination, reliable access, and a trusted relationship approach to navigating the complexities of healthcare. The Care Champion also works with a multidisciplinary team of partner services as they develop and manage comprehensive, individualized care plans for members. WHO WE ARE This is a unique opportunity to be part of a startup that IS trying TO change the healthcare for the better. The startup environment is very unstructured and there is constant change as we adapt to our customers and the needs of the marketplace. It is a demanding environment but one that will allow great personal growth and opportunity. WHO WE SERVE: Employers that self-fund health benefits [We are a trusted health solutions partner], Self-Funded Employers Health Plan Members [We are their trusted Concierge Care Management advocate] WHY JOIN US To make a profound difference in the lives of the members and employers we serve. Because you, like us, believe the current healthcare system is not enough, You share the belief that people deserve to be treated as individuals. You value serving as a trusted advocate, delivering the best care possible and placing people first. YOUR IMPACT Every day, you’ll have the opportunity to work with a passionate team who share the same mission. You will interact with and build strong relationships with plan members, employers, and healthcare service providers. You will contribute your knowledge and expertise to our personalized care solutions. You will seek out and find new and innovative ways to deliver the best care. You will have the resources to do whatever it takes to make a difference in the lives of our members and client’s business. Your contribution will impact and change the healthcare experience for people. EXPECTATIONS FOR THIS ROLE • Receive inbound member calls and secure member messages • Perform appropriate triage and escalation of routine and urgent member calls • Receive, QA and load member information from partner services, providers, and specialists • Make outbound member calls to coordinate member needs • Assist with locating community resources for our members • Assist services team(s) with documentation, records, eligibility, and general telephonic support • Make, change and confirm office visit appointments with providers • Request help from providers with patient demographic and medical record data • Support the request for services that may be needed for members • Assist members with understanding benefit plan, network access, and general benefit and claims related questions • Monitor members that are hospitalized or in post-acute care for estimated discharge date and scheduling of post-discharge needs • Participate in weekly team meetings EXPERIENCE EXPECTATIONS • Bachelor’s degree or applicable work experience • Minimum 3 years’ experience, preferably in a physician office, benefits and/or claims department, or clinical call center. • Attention to details, with excellent organizational skills, for both volume and quality of work • A self-starter with the ability to work independently and deliver results in a fast-paced environment • Proven telephone communication skills • Strong service orientation with a high degree of compassion and empathy for others • Demonstrated problem solving skills • Proficient on Microsoft Office programs, EMR/Care Management platforms, and keyboarding • Knowledge of legal & ethical issues related to confidentiality, including HIPAA and state privacy laws PERSONAL QUALITIES • Wants to make a difference • Personable, fun, team oriented • Flexibility to adapt quickly to changing circumstances and take initiative in identifying and solving problems. • Multitasking skills • Communication skills

Qualifications

• Bachelor's degree or higher
• Customer Service (CS) (1+ years)
• Healthcare (1+ years)

• Do you have experience in a start-up environment?
• Do you have experience with HealthCloud (Salesforce)?

Company

Nashville based health and wellness membership service providing 24/7 personalized attention, an exceptional healthcare experience, and individualized care to our members.