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Health Plan Operations Associate
Company | Firefly Health |
Address | Watertown, MA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Technology, Information and Internet |
Expires | 2023-10-06 |
Posted at | 8 months ago |
Firefly Health is building a revolutionary new type of comprehensive health "care and coverage,” powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform.
- Furnish benefits, claim status, eligibility checks, etc. to Providers on an Inbound and Outbound call basis.
- Execute courteous, accurate, and prompt follow-up with customers by utilizing worklists to successfully manage daily tasks
- Become an expert on the Firefly's $0 version of a referral, known as a Care-Pass, which will ensure the highest service to our members throughout the referral process
- Carry out additional project work to support growth and scalability
- Assist members with questions regarding the Firefly Health Plan; Provider network, medications, prior authorizations, and Care-Pass requirements
- Review and compare claims and data in order to resolve member and provider issues
- Aide and guide customers towards prompt resolution when an issue occurs
- Provide knowledgeable and timely responses to our customers via chat and phone to educate and assist them with the Firefly Health Plan
- Project Management
- Schedule and Lead Meetings
- Split Shifts and/or Overtime IE: OEP/Customer Need
- Cross-training with other Firefly Health teams to ensure customer needs are met
- Training new team members
- Assist Leadership to review and/or update department Policies and Procedures to ensure that they remain current and accurate
- Have successfully proven remote-work time management skills
- Ability to work both independently and in a team environment
- Have experience using digital technology to improve service delivery
- Are patient, compassionate, positive, flexible, and willing to go the extra mile to get the job done
- Have excellent communication skills and love delivering great service to people, often at stressful moments in their health journey
- Have 1-2 years of health insurance and/or customer service background
- Are organized, through, detail oriented, and coachable
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