What are the responsibilities and job description for the Healthcare Concierge position at Frontier Direct Care?
At Frontier Health, we're transforming healthcare. Our patients get access to the care they need quickly and efficiently while experiencing improved health outcomes for the first time in their life. Join us in shaping the future of healthcare!
TRANSFORM HEALTHCARE AND CREATE MASSIVE IMPACT
We build experiences people love by incorporating empathy, care and trust. We challenge the status quo to restore the patient-provider relationship, starting with a team that deeply cares about healthcare and each other.
DO THE BEST WORK OF YOUR LIFE
We’ve redefined patient care and engagement, proving it's possible to build a premium healthcare brand. Supported by top healthcare funds and industry leaders, our strong team is rethinking collaboration and building a global, household name. Join us as a Healthcare Concierge and do the best work of your life.
WHAT YOU’LL BE DOING
As a Healthcare Concierge you act as the main point of contact for our members, following up with them throughout the defined processes and providing accurate healthcare benefit information. You will be responsible for documenting all member interactions and escalating queries and concerns appropriately.
This is a full time office based position located at our headquarters in Harlingen, TX.
Primary responsibilities include
- Acting as the main point of contact for all member or provider related questions for all groups, regardless of plan design.
- Answering questions from both members and providers related to claims, appeals, referrals, benefit information, plan design, card usage and Direct Pay related casework.
- Successfully managing all assigned tasks as scheduled on a daily basis, in accordance with company policy.
- Diligently managing assigned email inboxes and alerts as scheduled on a daily basis in accordance with company policy.
- Meeting all designated performance metrics based on call coverage, attendance and case related work.
- Participate in quality improvement initiatives to optimize the referral process
- Stay current with changes in healthcare policies and regulations.
- Participate in training and leadership meetings to ensure you are knowledgeable with all current and future planned changes and groups.
SOUND LIKE YOU?
- Bilingual (Spanish and English)
- Minimum 2 years of experience in a health care setting (including Medical Assistant, CNA, customer service, account management type roles)
- Demonstrated experience with medical terminology including an understanding of health care procedures, medical coding (CPT/ICD10), healthcare regulations and policies.
- Electronic medical records experience
- Experience successfully navigating multiple systems, complex workflows all while meeting sensitive timelines.
- Experience working with health plans and performing prior authorizations.
BENEFITS
Taking Care of You Now and Your Future
- Medical, dental, and vision insurance
- Frontier Membership for you and your immediate family
- Voluntary insurance: short-term disability, long-term disability, life insurance, and other supplemental insurances.
- 401(k) plan: Free access to financial wellness platforms that provide financial advisors personal finance tools
Time Off
- Enjoy our generous and flexible Paid Time Off (PTO) policy, with our amazing team members taking an average of 20 days per year. Within this benefit, we include up to 5 unplanned days off per year
- 9 additional company holidays
- Parental leave policy
At Frontier Health, we value diversity. We are an equal opportunity employer: we do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
