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At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Responsibility:
Responsible for an integrated member experience
Responsible for providing concierge guidance and answering questions from members and providers for medical, behavioral health and prescription benefits and claims
Assisting members in assessing tools, health partner options, and setting provider appts through their choice of communication whether it be phone, webchat, or written
The incumbent is a subject matter expert and may handle projects and assist in training others
They are responsible for navigating the healthcare system and helping the member reach optimal health by collaborating with clinicians from medical, behavioral or a pharmacist
Requirements:
Associate with 2 years OR, a Bachelor’s with 1 year, OR 3 years of concierge-oriented customer service experience
Experience emphasizing plan of care, assisting customers to select in-network providers, and train customers on tools
Knowledge of medical terminology
Experience building trust and providing concierge level of service
Clear and concise verbal and written communication skills, including motivational interviewing to interact with the members and physicians
Attention to detail and strong documentation skills
Web and PC proficiency
Nice to have:
Associate degree in Health Science or Health Studies or Bachelor’s degree
Knowledge of HCSC customer service systems, processes, and products of the operational area
3 years of concierge-oriented customer service experience in an insurance environment
Clinical or social work expertise
Experience in coordinating medical services
Knowledge with health benefit plans and the insurance industry