Who we are
Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Transcarent’s AI-powered WayFinding, comprehensive Care Experiences – Cancer Care, Surgery Care, Weight – and Pharmacy Benefits offerings combined with Accolade’s health advocacy, expert medical opinion, and primary care, allows us to meet people wherever they are on their health and care journey. Together, more than 20 million people have access to the combined company’s offerings. Employers, health plans, and leading point solutions rely on us to provide trusted information, increase access, and deliver care.
We are looking for teammates to join us in building our company, culture, and Member experience who:
- Put people first, and make decisions with the Member’s best interests in mind
- Are active learners, constantly looking to improve and grow
- Are driven by our mission to measurably improve health and care each day
- Bring the energy needed to transform health and care, and move and adapt rapidly
- Are laser focused on delivering results for Members, and proactively problem solving to get there
What you’ll do
- Communicate and follow-up with plan members to ensure understanding of the program while delivering exceptional customer service
- Answers the phones and responds to incoming inquiries while utilizing care center training tools
- Facilitates patients successfully through the surgery review process, exceeding expectations while meeting the program metrics
- Efficiently and effectively manages a case load across a variety of clients and surgical categories
- Coordinate the scheduling and approval process from the initial request for surgery to patient placement
- Obtain the necessary information – demographic, financial, clinical and other pertinent data to complete referral process
- Obtain medical records in a timely and accurate manner to ensure an expedited process
- Maintain and update application with current data, pertinent information, and status of cases
- Collaborate with providers, clinics and facilities, and various levels of management to effectively resolve issues. Obtain pre-authorizations.
- Works effectively with other supporting operational roles and internal departments, to coordinate the member’s case
- Effectively address and resolve patient barriers to utilize the benefit including working with members to address program questions
- Maintain confidentiality and knowledge of HIPAA regulations
- Demonstrate Transcarent core values
- Comply with company policies
- Be willing and available to work overtime as needed
What we’re looking for
- Available to work Monday - Friday, 11:30a-8:00p MT
- 2 to 4 years customer relationship and phone center experience
- Proficient in data entry, Microsoft Office, and contact center-style phone systems
- Excellent customer service, written and verbal communication and interpersonal skills
- A “delight the customer” attitude
- Prior healthcare industry experience with a working knowledge of medical terminology and health benefits claim process
- Strong organizational, critical thinking and problem-solving skills
- Strong attention to detail and follow-through
- Project management-type skills; prior experience managing a high-volume caseload
- An ability to focus in a high energy atmosphere
- Openness and understanding that dynamic environments include change, and welcoming that change with a positive attitude
Nice to have
- Experience in surgical scheduling
- Strong skills in multitasking
- Ability to move between multiple technologies
As a remote, hourly position, the pay for this role is:
- $20.00-$24.00/hr
Total Rewards
Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate’s skills, experience, market demands, and internal equity.
Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options.
Our benefits and perks programs include, but are not limited to:
- Competitive medical, dental, and vision coverage
- Competitive 401(k) Plan with a generous company match
- Flexible Time Off/Paid Time Off, 12 paid holidays
- Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance
- Mental Health and Wellness benefits
Location
You must be authorized to work in the United States. Depending on the position we may have a preference to a specific location, but are generally open to remote work anywhere in the US.
Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out!
Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current health and care with their unique experiences.
Top Skills
What We Do
Transcarent is a health and care experience company that makes it easy to get the high-quality, affordable health and care that everyone and their families deserve – where and when they want it, on their terms. Transcarent puts health consumers back in charge by directly connecting them with an integrated ecosystem of high-value providers and health solutions, providing transparent information, and offering trusted guidance – in as little as 60 seconds, 24/7/365, from the palm of their hand, often at no cost to Members and at a lower cost to their employer. Transcarent takes accountability for results – offering at-risk pricing models and transparent impact reporting to align incentives towards measurably better experience, better health, and lower costs.
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