Corewell Health - Kentwood, MI
posted 2 months ago
Full-time - Entry Level
Kentwood, MI
Hospitals
About the position
The Patient Access Services role at Corewell Health involves assisting and educating patients, providers, and staff in accessing services and resolving issues. The position focuses on creating exceptional experiences through various communication channels while adhering to established procedures and quality guidelines.
Responsibilities
- Analyze, evaluate, resolve, and respond to service inquiries from members, providers, and other stakeholders.
- Provide customers with information and education regarding benefits, eligibility, verification, authorization, billing, and claims status.
- Identify and resolve or escalate customer concerns to achieve positive outcomes.
- Make outbound welcome calls to educate members on their benefits as needed.
- Assist walk-in members and agents as assigned by leadership.
- Adhere to established procedures and quality guidelines to support service promises and performance indicators.
- Identify trends or issues impacting health plan members and suggest process improvements.
- Assist customers with administrative issues, such as enrollment record changes and coverage explanations.
- Facilitate claims resolution through follow-up on member calls and correspondence.
- Track and document all service interactions with customers according to guidelines.
- Maintain productivity, availability to customers, and adherence to work schedule.
Requirements
- High School Diploma or equivalent.
- 1 year of relevant experience in a related field.
Nice-to-haves
- Associate's Degree
Benefits
- Comprehensive benefits package for financial, health, and work/life balance goals.
- On-demand pay program powered by Payactiv.
- Discounts on various services and products.
- Optional identity theft protection, home and auto insurance, pet insurance.
- Traditional and Roth retirement options with service contribution and match savings.
