Care Guide

• Regular - Hybrid - Full Time

Apree Health Logo

apree health brings together a best-in-class engagement platform with an advanced primary care model to provide a vastly better health and care experience, improve outcomes, and significantly lower the total cost of care for a population.

Care Guide

  • Represent apree health to external and internal customers with empathy, compassion and ownership of best resolutions

  • Provide a multi-channel approach to world class service, ensuring the individual needs of each person are anticipated and met to the best of your ability

  • Exhibit developed expertise of our digital product and provide assistance that exceeds expectations and engages the customer in the process

  • Work on behalf of the individual to resolve potential billing and coding discrepancies when applicable

  • Partner with providers and payers to resolve questions and barriers to care

  • Provide navigation, interpretation and assistance with insurance details, processes and cost transparency

  • Open enrollment support when needed

  • Explore and connect to the appropriate health plan benefits, employee offerings and supportive programs to improve healthcare outcomes

  • Explore and connect to the appropriate in-network, high quality, primary/preventive care recommendations

  • Schedule/coordinate appointments and follow up as appointed

  • Work with external care teams and 3rd party sources to coordinate the best outcome for the individual

  • Explore and locate resources for the removal of barriers to care whenever possible

  • Participate in wellness and incentive campaigns to boost engagement and improve outcomes

  • Adhere to all company policies, PHI and PI guidelines and applicable laws

  • Escalate when appropriate to designated clinical or technical teams per process guidelines

  • Utilize good documentation practices and follow outlined documentation and system requirements

  • Must be eager to receive and apply routine feedback for continuous improvement as a result of call and case reviews

  • Other duties as assigned

 
Qualifications: 
  • High School diploma

  • Proven customer service skills in healthcare setting

  • Telehealth and contact center experience preferred

  • Previous medical office experience preferred including (but not limited to), Medical Assistants, Billing and Coding Specialists and medical admins, patient advocacy

  • Experience with preferred technologies a plus (EMR, Salesforce, Google)

  • Focused attention and dedication to critical thinking, problem solving, empathetic listening and thoughtful responses

  • Strong, professional verbal and written communication skills

  • Attention to detail ability to multitask with exceptional organizational skills

  • Previous case management experience is a plus

  • High tolerance for a fast-paced environment with change management skills

  • Job requires 40 hours per week with shift flexibility between the hours of 8am-9pm EST

Physical Demands: 
  • Requires being at a desk for extended periods of time

  • Requires being on the phone with patients, insurance companies, providers and others throughout the day.

Compensation:  $20-$25/hr. & bonus eligible

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