Care Advocate - Benefits Specialist
Alithias
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Tampa, FL 33634
Temporarily remote
$38,000 - $45,000 a year
Responded to 75% or more applications in the past 30 days, typically within 1 day.
Essential Duties and Responsibilities:
The primary responsibility is to help employees get the most value from their benefit plan. The Care Advocate/ Benefits Specialist will work closely with our clients’ employees to act as their personal guide to help them understand their benefit plan, answer questions about their benefits, identify the correct resources to resolve any issues, act as their advocate to resolve issues on their behalf, identify and communicate high value healthcare provider options within their benefit plan design, facilitate the scheduling of any appointments if needed, and work closely with other third party service providers to ensure the employee has received the requested information and following up with the employee to ensure issue resolution and client satisfaction. This will require the ability to quickly build positive relationships with the employee and all third parties involved. You will often act as a “coach,” presenting possible solutions to complicated healthcare concerns. This may include; clearly communicating provider options, confirming network participation of providers, directly or indirectly connecting the employee to the right solution provider, teaching the employee how to use
our web based platform, connecting the employee to one of our physician partners if medical questions are involved and making a smooth hand off of the employee to the proper solution provider. In addition, the Benefits Specialist will further support the employee by acting as a resource to explain all other healthcare related benefits, such as information about health risk assessment details, employee assistance programs, wellness programs, on-site / near-site clinic information or other healthcare benefits offered by the employer. Enter all client interactions into the CRM tools.
• Ability to use Alithias and other third party software to look up information on behalf of the employee
• Ability to Coach and Motivate over the telephone
• Ability to speak comfortably to groups of 10 – 200+ employees
• Maintain strict compliance with HIPAA regulations
• Maintain compliance with all company policies and procedures
• Desire to constantly learn and develop new skills
• Perform additional related duties as assigned by supervisor
Education and/or Work Experience Requirements:
• Medical terminology and/or coding experience required
• Medical industry experience preferred
• Excellent verbal and written communication skills with internal and external customers
• Must be able to manage multiple tasks simultaneously, work under pressure and meet deadlines while maintaining a positive attitude and providing exemplary customer service
• Ability to problem solve – identify the issue, evaluate best options, present positive solutions both internally and externally
• Ability to work independently and to carry out assignments to completion within parameters of instructions given
• Excellent active listening skills, always seeking first to understand
• Actively participate in identifying ways to solve the many new challenges we face as a start-up and be willing to share your ideas and determine solutions
• Excellent computer proficiency (MS Office – Word, Excel, Powerpoint and Outlook)
• College Degree Preferred
• Human Resources, Insurance industry, Wellness or Teaching experience preferred
Job Type: Full-time
Pay: $38,000.00 - $45,000.00 per year
Benefits:
• Paid Time Off
Schedule:
• 8 hour shift
• Monday to Friday
Experience:
• relevant: 3 years (Preferred)
Work Remotely:
• Temporarily due to COVID-19