Patient Access Representative Associate

Shift And StatusFull time, 8 a.m. to 4:30 p.m., variable days and every third weekend. Must reside in the state of Michigan.Job SummaryAssist and educate patients, providers, medical office staff, and/or Health system staff with accessing services, facilitating and resolving problems, understanding navigation questions. Consistently create an exceptional experience with each contact, via inbound and outbound calls, online chat, email, etc. Adheres to established procedure and quality guidelines in support of Patient Access Services Center performance indicators, as well as Corporate values and codes of excellence.Essential FunctionsAnalyzes, evaluates, resolves and responds to service inquires from members, providers, employer groups, colleagues, agents, Elite agents (customers), and others within departmental guidelines. Professional and pleasant interactions are ongoing expectations.Partnering with internal and external resources, promptly provides customers with information and education concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status.Promptly identifies and resolves or escalates customer concerns or complaints to achieve positive outcomes. Places outbound welcome calls to members to educate them on their benefits as needed. Assists walk-in members and agents if assigned by leadership.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.Assists customers with administrative issues, such as submitting enrollment record changes, providing letter explaining coverage or benefits, and obtaining and relaying certain member information to other departments as needed.Facilitates claims resolution through follow-up on member calls and correspondence received to appropriate departments.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.May be trained and then assigned to perform core scheduling duties for other service lines to meet fluctuating business demands.Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.Performs other duties as assigned.QualificationsRequiredHigh School Diploma or equivalent1 year of relevant experiencePreferredAssociate's degreeAbout Corewell HealthAs a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members, and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.How Corewell Health Cares For YouComprehensive benefits package to meet your financial, health, and work/life balance goals.On-demand pay program powered by Payactiv.Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!Optional identity theft protection, home and auto insurance.Traditional and Roth retirement options with service contribution and match savings.Eligibility for benefits is determined by employment type and status.Primary Location: SITE - Care Center Breton - 4600 Breton Rd SE - KentwoodDepartment Name: Contact Center Primary Care - CorporateEmployment Type: Full timeShift: Day (United States of America)Weekly Scheduled Hours: 40Hours of Work: 8 a.m. - 4:30 p.m.Days Worked: Monday - FridayWeekend Frequency: Every third weekendCorewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.Corewell 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, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.You may request assistance in completing the application process by calling View phone number on click.appcast.io.