Corewell Health
PatientServicesRepresentativeAssociate
“Patient Services Representative Associate at Corewell Health. Skills: Assist and educate patients, resolving problems, understanding navigation questions, create an exceptional experience, Analyzes, evaluates, resolves and responds to service inquires, Partnering with internal and external resources, provides customers with information and education, identifies and resolves or escalates customer concerns or complaints, Assists customers with administrative issues, Facilitates claims resolution, ”
What You'll Achieve.
Patient Access Services Center performance indicators; Priority Health service promise; key drivers; performance indicators
Industry & Context.
facilitating and resolving problems; resolves and responds to service inquires; resolves or escalates customer concerns or complaints; Facilitates claims resolution
AI‑enabled voice agent screening
What They're Looking For.
Must Have
High School Diploma or equivalent, 1 years of relevant experience In related field
What You'll Do.
Assist and educate patients
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
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.
resolves and responds to service inquires from members
Elite agents (customers)
and others within departmental guidelines.
Partnering with internal and external resources
promptly provides customers with information and education concerning benefit clarification
eligibility requirements
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
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.
How You'll Work.
Team & Collaboration
Partnering with internal and external resources; works with coworkers and leadership resources to suggest process improvements
Communication Scope
inbound and outbound calls; online chat; email
Applying for this Patient Services Representative Associate role?
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