HA PERSONAL HEALTH ADVOCATE
West Corporation

Job Info

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For this opening we will consider candidates from the following locations: PLYMOUTH MEETING,PA,US |

Position Overview

At Health Advocate, we are committed to providing our customers with services that improve the health, well-being and productivity of their employees. The Personal Health Advocates are a dedicated team of Registered Nurses who assist our members in navigating the healthcare system by facilitating access to healthcare providers, health and benefit information, health services and resources and entitled benefits coverage.



Essential Job Functions

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  Professionally answers incoming calls and respond to client inquiries
  
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  Connect with customers by phone and quickly develop a rapport to help the individual to navigate their benefit choices and options.
  
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  Educate members regarding healthcare issues and options.
  
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  Provide members choices in medical care providers and services based on the members' clinical needs, geographic locations and available benefit offerings.
  
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  Research providers through credentialing, education checks and affiliations with notable medical centers.
  
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  Facilitate communication among members, treating physicians and insurance carriers.
  
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  Help members understand their medical condition, reasons why a certain test is being performed and what to expect from the results.
  
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  Help members ask the right questions of their doctor.
  
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  Intercede for the member to obtain an earlier appointment.
  
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  Ensure member receives proper follow-up care after inpatient discharge
  
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  Help members obtain prescriptions
  
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  Help members with pre-service fee negotiations
  
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  Place outbound follow up calls for issues that cannot be resolved during the initial call
  
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  Respond to member cases in delegate box, answers and after hours calls
  
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  Mentor new team members
  
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  Work in-house and permanent
  
  

Other Skills/Abilities

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  Minimum three to five years clinical and/or medical management experience
  
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  Active and unrestricted State or Multi-State RN License
  
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  Understanding of medical terminology to assist in locating appropriate care options
  

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  Strong Communication skills and phone etiquette
  
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  Strong ability to explain complex issues to employees/retirees
  
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  Highly effective listening skills
  
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  Strong problem solving/issues resolution skills
  
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  Excellent customer service and customer resolution skills
  
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  Organizational and administrative skills
  
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  Experience with Microsoft Word and Excel
  
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  Ability to work in a team environment
  
  

This job has expired.