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Job Description

Assist and educate providers of health plan benefits with accessing services, facilitating and resolving problems, understanding claims, billing and coding, along with other questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls.

Must be able to start training on 06/13/2022

Pay Range consideration are will be $16.50/hr to $17.50/hr based on relevant experience and department equity

In-Bound Call Center at Priority Health supporting providers

Focusing on Provider Customer Service (Physician Groups/Hospitals in Network)

Business to Business healthcare needs for Providers and their practices

5-7 Weeks of ON-SITE Group Training from 8 a.m. to 5 p.m. at the Priority Health Campus

Virtual work will be allowed once training and performance standards are met.

• Analyzes, evaluates, resolves and responds to service inquires from providers. Professional and pleasant interactions are ongoing expectations.

• Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility verification, authorization, billing and claim status, Self-service tools education and credentialing questions

• Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes.

• 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.

• 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.

• Required High School Diploma or equivalent

• Preferred Associate's Degree

• 1 year of relevant experience in related field Required

• 1-2 years working in a provider setting preferred

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Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member’s job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum 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, sexual orientation, veteran status, or any other legally protected

category. See more here.