Company

United Claim Solutions LlcSee more

addressAddressMechanicsburg, PA
type Form of workFull-Time
CategoryInformation Technology

Job description

Valenz® Health simplifies the complexities of self-insurance for employers through a steadfast commitment to data transparency and decision enablement powered by its Healthcare Ecosystem Optimization Platform. Offering a strong foundation with deep roots in clinical and member advocacy, alongside decades of expertise in claim reimbursement and payment validity, integrity, and accuracy, as well as a suite of risk affinity solutions, Valenz optimizes healthcare for the provider, payer, plan, and member. By establishing "true transparency" and offering data-driven solutions that improve cost, quality, and outcomes for employers and their members, Valenz engages early and often for smarter, better, faster healthcare.
About Our Opportunity
As a Patient Care Coordinator (Patient Triage and Imaging Coordinator), you'll assist with the daily customer service and scheduling of patients for our KISx Card and KIS Imaging programs. The KISx Card and KIS Imaging programs allow participating members to schedule outpatient surgical procedures and high-end radiology procedures, including MRI, CT, and PET scans, within a proprietary network of providers with little or no out-of-pocket expense to the employee.
The primary roles of the Patient Triage Coordinator are to ensure exemplary customer service while interacting with the Nursing Team and coordinating the scheduling of exams for all requesting patients.
Things You'll Do Here:

  • Provide detailed information on program benefits, procedures, and protocols via phone and email to incoming patients.
  • Accurately gather and document essential patient details, including demographic data, eligibility criteria, and specific surgical or imaging needs.
  • Assist with coordination of scheduling imaging or guiding to Case Management ensuring their convenience and adherence to program protocols.
  • Consistently update patient files and customer accounts with relevant case notes and other pertinent details.
  • Be the face of outstanding customer service, ensuring every program participant leaves with a positive impression.
  • Build synergies with various internal teams, especially the clinical nursing staff and operations members, to streamline Patient Care processes.
  • Establish and maintain strong relationships with imaging scheduling coordinators to support
  • Patient Care and the company's growth.
  • Address queries from providers and internal team members promptly and effectively, ensuring complete clarity and satisfaction.
  • Proactively identify challenging situations and ensure appropriate action is taken to mitigate escalation with our business partners.
  • Attend departmental meetings and stay up to date on all business initiatives related to the program.

Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties.
Where You'll Work
This role is located in our Mechanicsburg, PA office. Your schedule will be Monday-Friday, 9:00am to 5:00pm EST
Why You Will Love Working Here
We offer employee perks that go beyond standard benefits and compensation packages - see below!
At Valenz, our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare. We want everyone engaged within our ecosystem to be strong, vigorous, and healthy. You'll find limitless growth opportunities as we grow together. If you're ready to utilize your skills and passion to make a significant impact in the healthcare self-funded space, Valenz might be the perfect place for you!
Perks and Benefits
  • Generously subsidized company-sponsored Medical, Dental, and Vision insurance.
  • Spending account options: HSA, FSA, and DCFSA
  • 401K with company match and immediate vesting.
  • Flexible working environment.
  • Generous Paid Time Off to include Vacation, Sick, and Paid Holidays.
  • Paid maternity and paternity leave.
  • Community giveback opportunities, including paid time off for philanthropic endeavors.

At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.
Requirements
What You'll Bring to the Team:
  • 1+ year of customer service experience, preferably within a healthcare or insurance-related setting, demonstrating the ability to handle patient inquiries with empathy and professionalism.
  • Strong verbal and written communication skills to convey information clearly and compassionately.
  • Knack of organization and time management in order to succeed in data collection, scheduling, etc.
  • Proficiency in MS Office and ability to learn new applications and systems.
  • Team player - The ability to work with the whole team and are willing to contribute in any way necessary to accomplish our goals.

A plus if you have:
  • Familiarity with medical terminology
Refer code: 8746714. United Claim Solutions Llc - The previous day - 2024-03-26 19:07

United Claim Solutions Llc

Mechanicsburg, PA
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