Job Description

Highlight Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We are a profitable, fast-growing company without private equity investors.

We are looking for a Patient Engagement Specialist who will work to support our claims analysis team by handling direct patient communication. This will be done mainly through phone calls and may require a series of attempts to reach the patient. Some healthcare claims can be repriced without engaging the patient directly, while others require the patient to send us further information and documentation. You will manage and track your workload and keep detailed case notes using our claims system. It is important to exhibit excellent customer service and professionalism while conducting these communications. The Patient Engagement Specialist will have to be in the Philadelphia office at least 4 days a week.

Highlight Health engineers new ways to protect consumer rights and control healthcare costs for self-funded employers. Nearly every American has felt the pain of the skyrocketing cost of healthcare. Highlight Health brings them solutions. We use our subject-matter expertise to reduce costs for employers and relieve ordinary Americans of burdensome medical costs. Highlight Health is proud of its inclusive workplace that brings together highly skilled leadership and employees from all walks of life. Our company is headquartered in two cities along the Northeast Corridor with an affordable cost of living: Philadelphia, PA and Newark, NJ.

We are looking for customer service trained professional to assist patients in their fight for fair healthcare costs. If you are a go-getter who can match confidence with empathy while speaking with a range of individuals, then this position is for you. Your focused and organized manner will be needed to keep track of a caseload ranging from several different types of tasks at a time. In this role you will need strong communication skills, the ability to problem-solve while on the phone with clients, and most importantly a desire to learn more about the healthcare industry and how to help.

Position Responsibilities: 

• Communicating with members/vendor partners/healthcare providers and facilities.
• Assist in building strategies for more efficient workflows for the claims analysis team.
• Ensure and maintain HIPAA compliance within patient engagement.
• Provide accurate information to patients and the claims analysis team.
• Problem-solving member issues
• Documenting case activity
• Collaborating with coworkers
• Enhancing care/cost data resources
• Using technology to research and manage cases
• Sharing input on ways to enhance processes
• Continuous learning and adaptability

Requirements

Minimum Qualifications 

• Excellent verbal and written communication skills
• Time management and strong organizational skills
• Passionate about learning
• Strong work ethic
• Enjoys working with and helping people
• Calm and professional phone presence
• Able to work some nights until 8 PM Eastern Time
• Proficient with Microsoft applications (Outlook/Word/Excel)
• Comfortable learning/using additional software applications
• Ability to work both independently and as part of a team in a fast-paced environment, while successfully managing multiple projects to completion

Nice to Have

• Bachelor’s degree preferred, not required
• 1 -2 years of work experience in healthcare, insurance, or medical billing preferred, not required
• Bilingual and able to read, write and speak Spanish proficiently preferred

Benefits

• Base Salary: $60,000 +
• Highlight Health offers an attractive benefits package, with healthcare cost reimbursement, paid time off, commuting benefits, short term disability, an employer 401(k) contribution, and bonuses
• After 90 days of employment, you may work from home 1 day/week

Job Tags

Similar Jobs