American Specialty Health Incorporated (ASH) is seeking a Concierge to join our ASHCare Managed Services department.

The Member Concierge is an essential role serving to enhance the coordination of members and providers for the Virtual Physical Therapy and Fall Prevention services. The Member Concierge verifies program eligibility, completes assessments, obtains member payment responsibilities, coordinates appointment scheduling, and provides appropriate program navigation and technical support.

Remote Worker Guidelines

• Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum 50 Mbps download and 50 Mbps upload speed.)

Responsibilities

• Coordinates intake, navigation services, and administrative support for Virtual Physical Therapy and Fall Prevention program:
  • Receives and responds to telephone calls, greeting members with a courteous, welcoming manner and offering an introduction and pertinent information.
  • Utilizes defined criteria to determine member qualification for applicable programs.
  • Gathers detailed and accurate information and enters data into company electronic systems and communication logs, including a triage survey.
  • Schedules or reschedules, new and recurring member appointments by navigating state specific licensure requirements and applicable time zone preferences.
  • Coordinates the collection of pre-visit information, including member cost share or payment when necessary.
  • Reviews with member the requirements for a successful Virtual Physical Therapy session or Fall Prevention Assessment, including necessary equipment and secured internet connection, and assists with technical support as needed.
  • Manages time to ensure calls are answered within required time frames and appropriate follow up is conducted in a timely manner.
  • Maintains thorough, up-to-date and confidential records regarding member experience.
  • Exercises strict confidentiality in all matters relating to the member experience.
  • Maintains safe, secure, and healthy work environment by following all legal and compliance requirements.
  • Attends and participates in employee and company meetings to discuss issues and foster teamwork among department personnel.
• Assists with administrative duties related to the Virtual Physical Therapist recruitment process:
  • Maintains organization of shared inboxes, uploads relevant candidate documentation to a shared drive for further review.
  • Coordinates new candidate screenings and exams as part of the application process.
  • Schedules candidate interviews with consideration of Clinical Leadership’s availability.
  • Collects and processes required license and certification documentations from newly onboarded Physical Therapist.
• Performs other duties as assigned.
• Complies with all policies and standards.

Qualifications

• High School Diploma or GED certificate required.
• 1 year experience with Call Center or Customer Service operations, preferably in a Managed Care or Health Care environment required.
• 3 years general office experience including administrative support and project management required.
• Computer proficiency in MS Office; Outlook, Word, Excel, SharePoint experience required.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
• Ability to exercise strict confidentiality in all matters.

Mobility

• Primarily sedentary, able to sit for long periods of time.

Physical Requirements

• Ability to see, speak, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to lift up to 10 lbs.

Environmental Conditions

• Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

#LI-Remote #Customerservice #Call #Callcenter #Support#Healthcare