Job Description:

Are you looking to work for a company that has been recognized for over a decade as a Top Place to Work? Apply today to become a part of a company that continues to commit to putting our employees first.

This is a work from home position working between the hours of 8AM - 5PM

Position Summary: The Member Support Specialist is responsible for connecting members and providers with existing health services to effectively navigate and maximize their use of the health system.

Essential Functions:

• Liaises between Health First Colorado members, health systems, medical providers and the CCHA Member Support Services call center in order to navigate the medical home system of care
• Provides customer service for member inquiries, to include answering eligibility and enrollment questions, administering health needs assessments, identifying barriers and presenting solutions, and triaging patients to a higher level of care coordination
• Provides customer service for physical and behavioral health provider inquiries, to include answering questions and connecting providers with available resources across the health system
• Triages incoming care coordination referrals by assessing level of urgency, reviewing and documenting needs
• Meets required inbound and outbound call statistics and documentation requirements
• Develops strong telephonic relationships with members to include educating members on proper use of the health care system, providing and/or arranging appropriate referrals to medical and non-medical services, and completing timely telephonic follow-up
• Participates in team meetings
• Maintains confidentiality and ensures compliance with HIPAA regulations

Knowledge, Skills and Abilities:

• Excellent verbal and written communication skills
• Great customer service skills
• Teamwork skills
• Independent problem-solving skills
• Self-motivated and self-managed
• Good computer and research skills
• Working knowledge of social determinates of health
• Proficient in Microsoft Office Suite

Qualifications:

• High School Diploma or GED
• 1-3 years’ experience in customer service
• Previous experience working in a health care setting (preferred)
• Bilingual; fluent in English and Spanish (preferred)
• Home office that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures

About Physician Health Partners:
PHP is an integrated team of physicians and health care professionals committed to supporting effective patient care throughout the health care continuum. PHP partners with Anthem, Centura Health, and Primary Physician Partners to create Colorado Community Health Alliance (CCHA) and meet the needs of Health First Colorado (Colorado’s Medicaid Program) members.

We believe that our employees are our biggest assets, so we offer a robust benefits package that is not limited to:

• Company pays majority of medical, dental, and vision premiums for employees/dependents
• HSAs, including employer contribution FSAs, including medical, limited purpose, and dependent care
• Paid Time Off
• 401(k) matching
• Short-Term and Long-Term Disability coverage
• Tuition Reimbursement
• Rewards and Recognition program

If you are interested in working for an innovative and collaborative workplace in the healthcare market, apply now!

COVID 19: Employees will be required to show proof of being fully vaccinated to COVID-19 within 30 days of hire or be subject to frequent antigen testing. Reasonable accommodations may be considered on a case by case basis.

Job Type: Full-time

Pay: $16.83 - $21.04 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Professional development assistance
• Referral program
• Vision insurance

Experience level:

• 1 year
• 2 years
• 3 years
• 4 years
• 5 years
• 6 years
• Under 1 year

Shift:

• 8 hour shift
• Day shift

Weekly day range:

• Monday to Friday
• No weekends

Work setting:

• Call center
• Hybrid remote
• Office

Ability to commute/relocate:

• Denver, CO 80202: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• What is your desired hourly salary?

Work Location: Hybrid remote in Denver, CO 80202

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