Health Assistant

This is a fully remote position, open to applicants in Connecticut, +3 more states.

📋 Description

• Assist members through a cohesive strategy that integrates care coordination with community outreach.

• Aid members in navigating and accessing physician services, healthcare offerings, community resources, and additional support.

• Respond to inquiries or address questions regarding benefits and health plans.

• Provide referrals to local resources and community agencies.

• Foster effective working relationships with members and staff while conveying the objectives and goals of the PHA program.

• Serve as a liaison between members and community service organizations, assisting members as necessary.

• Identify members requiring clinical triage, assessment, or intervention and alert the clinical team for guidance.

• Resolve billing, claims, and benefits issues in collaboration with relevant organizational departments.

• Identify suitable providers and physicians for the assigned members.

• Assist members with scheduling appointments, accessing services, facilities, and sending appointment reminders.

• Recognize barriers to healthcare access and maintain members' treatment and healthcare objectives.

• Contact, engage, and communicate effectively with assigned members.

• Proactively refer members to Case Management, the Chronic Care Program, or other advantageous Horizon programs.

⛳️ Requirements

• High School Diploma or GED is required.

• A minimum of 1 year of experience in customer service within the healthcare sector is necessary.

• A valid driver's license and access to a vehicle are required.

• A solid understanding of the served community and its connectivity is essential.

• Knowledge of medical terminology is required.

• Proficiency in using personal computers and related software in a Windows environment, including MS Office products (Word, Excel, Outlook, Lync, and PowerPoint), is necessary.

• Familiarity with intranet and internet applications is expected.

• Strong communication skills are required, including effective listening, interpersonal communication, and the ability to explain healthcare terminology to a general audience.

• Ability to utilize a personal computer and relevant software and systems is required.

• Capability to make informed decisions under the guidance of a Supervisor is necessary.

• Strong analytical and interpersonal skills are essential.

• Preference for 2 years of experience in a Managed Care organization.

• Preference for 2 years of experience in medical billing and claims coding/processing.

• Preference for experience in a customer service, healthcare, or community-based environment.

• Preference for the ability to analyze and resolve issues with minimal supervision.

🏝️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement