Provider Enablement Associate I

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El Paso, TX, USA
In-Office
Healthtech • Mobile • Software
The Role

About Transcarent
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.

Role overview

Provider Health Assistants (PHA) answer inbound calls from provider offices regarding patient-related services such as verification of benefits, verification of eligibility, pre-certification, and other general physician-patient care support needs.

A day in the life…

  • Answering calls in a high volume, fast paced call center environment,
  • Seeking to understand the context behind the provider’s call by probing for information to understand the provider’s questions or support needs in order to ensure first call resolution;
  • Navigating and engaging multiple systems, and pulling the puzzle pieces together to resolve provider questions, complex issues and requests;
  • Offering guidance to providers regarding their patient’s eligibility, coverage, pre-certification denials and appeals processes;
  • Educating providers on how to reduce errors in pre-certification process due to lack of information, and educating them on how to most effectively support their patients in the appeals process;
  • Navigating and providing input to policies, systems, methods, and procedures for the effective management of key business processes;
  • Performing other relevant tasks, as needed.

What we are looking for…

  • High School Diploma/GED
  • 1+ years employment experience in the customer service industry, the service industry, administration, or reception
  • 1+ years hands on experience with web-based applications
  • Excellent customer service skills; strong verbal and written communication
  • Ability to respond empathically
  • Experience resolving benefits and provider network questions in a fast paced, call center environment
  • Ability to answer the unasked questions providing first call resolution
  • Ability to navigate multiple systems and multi-task
  • Ability to de-escalate tense situations and turn them into productive, resolve-oriented conversations
  • Ability to navigate basic math scenarios including percentages, premiums/payments and out of pocket expenses (deductibles/coinsurance/copays)
  • Bi-lingual preferred

Salary- $20/h

Benefits

  • Comprehensive medical, dental, vision, life, and disability benefits, including access to Accolade Advocacy, Accolade Care, and Accolade EMO.

  • HDHP medical plan with generous employer contributions towards an HSA

  • 401(k) Retirement Plan with matching employer contributions

  • Open Time Off

  • Generous Holiday Schedule + 5 floating holidays

  • 18 weeks of paid parental leave

  • Subsidized commuter benefits programs

  • Virtual access to coaching, self-care activities, and video-based therapy and psychiatry through Ginger

  • 1 Volunteer days per year

Our people are the Heart of Accolade 

Together, we are building a great and enduring business that truly makes an impact. At Accolade, we are committed to building a workplace where all can grow and thrive. ​We do this by living our core values:  

Member Obsessed 

For everything we do, we ask ourselves: Is this going to make our member’s life measurably better? 

Be Fearless 

We think differently. We do what’s never been done. We are reinventing healthcare every step of the way. 

Stronger Together 

We honor the differences among one another and know that our unique perspectives drive us forward. 

Genuine Care 

We care deeply about the human beings we work with and serve. We have each other’s back.  

Embrace Reality 

We bring the data, tell the truth, and trust each other. 

Relentless Execution 

We operate with a bias for action. Take initiative, move fast & have fun. 

Accolade is an Equal Opportunity and Affirmative Action Employer committed to advancing an inclusive environment for all qualified applicants and employees. We provide employment opportunities, without regard, to any legally protected status in accordance with applicable laws in the US. We are committed to help ensure you have a comfortable and positive interview experience.

Accolade, Inc., PlushCare, Inc., and Accolade 2ndMD LLC will never ask you to pay to get a job. Anyone who does this is a scammer. Further, we will never send you a check and ask you to send on part of the money or buy gift cards with it. These are also scams. If you see or lose money to a job scam, report it to the Federal Trade Commission at ReportFraud.ftc.gov. You can also report it to your state attorney general.

 

To review our policy around data use, visit our Accolade Privacy Policy Page. All your information will be kept confidential according to EEO guidelines.

RSRACC

Accolade

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The Company
Seattle, WA
1,200 Employees
Year Founded: 2007

What We Do

Accolade connects the widest array of personal health data and programs to present a single point of entry to the most effective health and benefits resources, using a unique blend of compassionate advisors, clinical experts and intelligent technologies.

Why Work With Us

We are a team that wants to make a difference in the world. This can be felt in the relationships we build with our members, and in the innovations we bring to healthcare. You won’t find egos or office walls here. Just people who believe in honesty, doing the right thing, making an impact, and having fun.

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