Health Pro Consultant - US Virtual
Apply NowLocation:
US
Company:
Alight is a leading cloud-based human capital technology and services provider.
Summary:
As a Health Pro Consultant, you will provide healthcare guidance and support to members and their families while ensuring satisfaction and efficiency in benefit navigation. Candidates should have a degree or relevant experience in health benefits and strong communication skills.
Requirements:
Hard Skills: Strong listening, reasoning, and analytical skills, Exceptional verbal and written communication skills, Strong ability and desire to learn continually in a changing environment, Exceptional critical thinking and problem solving skills, Ability to efficiently organize work activities to meet deadlines
Credentials: Bachelor’s Degree, Associate’s Degree with 2 years billing/insurance experience, 3 years’ experience in a billing/insurance related role
Experience: Ability to work effectively in a remote team environment, Strong listening, reasoning, and analytical skills – ability to listen to member needs and dig deeper to understand the root cause of their concern, Exceptional verbal and written communication skills – can convey complex concepts, both verbally and in writing, for members that are not benefits experts, Strong ability and desire to learn continually in a changing environment, Exceptional critical thinking and problem-solving skills, Ability to efficiently organize work activities to meet deadlines, Passion to provide the highest level of client satisfaction, Ability to receive and immediately apply constructive feedback, Ability to develop effective rapport with clients based on empathy and trust, Proficiency in MS Office suite
Job Description:
We are now hiring ambitious, motivated Health Pro Consultants to work in our team focused, premier healthcare navigation business. In this role, you will be leveraging acquired knowledge to deliver high quality customer interactions that are consultative and lead to better healthcare outcomes. Through this role, you will have the opportunity to positively impact the lives of employee customers and their families, while driving increased benefit satisfaction and reducing healthcare spend for their employers.
As a Health Pro Consultant, you can expect the following:
- When you start, you will receive extensive health care training, ranging from basic healthcare terminology to advanced medical procedure cost analysis, to ensure you are equipped to consult members on complicated healthcare matters
- Your primary responsibility is to be an advocate for members requiring guidance across the health benefits environment by helping members and their dependents navigate questions about their benefits, identify the highest quality and cost-effective providers, understand benefit claims, and be an advocate for the employee across the health ecosystem. You will gather a full understanding of the member’s request and own the resolution of that request. Activities include, but are not limited to the following:
- Educating members on benefit programs
- Identifying high quality providers
- Cost comparisons
- Providing options for prescription alternatives
- Recommending patients to additional clinical support
- Connecting members to company sponsored health and benefits programs for specialized care
- Medical billing process review and analysis
This work involves leveraging developed methodologies, navigating internal tools and applications, as well as making external phone calls, partnering with carriers and providers (via email and phone outreach) to resolve member needs.
The scope of work is dedicated at the employee level and you will be responsible for working employee cases through resolution. You will interact with members through incoming calls, emails, and messaging system interactions. You will be responsible for utilizing exceptional communication, empathy, and problem-solving skills to understand and solve complex customer needs, resulting in a better experience for the employee’s entire healthcare journey.
We offer programs and plans for a healthy mind, body, wallet and life because it’s important our benefits care for the whole person. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as several voluntary benefit options.
By applying for a position with Alight, you understand that, should you be made an offer, it will be contingent on your undergoing and successfully completing a background check consistent with Alight’s employment policies.
We celebrate differences and believe in fostering an environment where everyone feels valued, respected, and supported. We know that diverse teams are stronger, more innovative, and more successful.
