Patient Access Associate Representative

Job Summary

Aid and educate patients, providers, medical office staff, and Health system staff on accessing services, resolving issues, and navigating questions. Maintain an exceptional customer experience through various communication channels.

Essential Functions

• Analyze, evaluate, resolve, and respond to service inquiries from members, providers, employers, colleagues, agents, and others.
• Promptly provide customers with information and education regarding benefit clarification, eligibility requirements, verification, authorization, billing, and claim status.
• Identify and resolve or escalate customer concerns or complaints to achieve positive outcomes.
• Place outbound welcome calls to members to educate them on their benefits as needed.
• Assist walk-in members and agents if assigned by leadership.
• Facilitate claims resolution through follow-up on member calls and correspondence received to appropriate departments.
• Effectively track and document all service interactions with customers within appropriate systems according to guidelines.
• Develop and maintain behaviors of productivity, availability to customers, and adherence to work schedule.
• May be trained and assigned to perform core scheduling duties for other service lines to meet fluctuating business demands.
• Participate in safety initiatives and risk mitigating measures where appropriate.
• Complete all position and unit safety-related competencies and requirements on a timely basis.

Qualifications

• High School Diploma or equivalent
• 1 year of relevant experience
• Prior to employment, you may be required to complete an initial screening using an AI-enabled voice agent.

About Corewell Health

Corewell Health is committed to providing comprehensive benefits, including a benefits package, discounts, retirement options, and more. We also offer on-site or hybrid workplaces, drug-free workplace policies, and reasonable accommodations for team members.

Primary Location

SITE - Care Center Breton - 4600 Breton Rd SE - Kentwood

Department Name

Contact Center PACE Specialty Scheduling - Corporate

Employment Type

Full time

Shift

Day

Weekly Scheduled Hours

40

Days Worked

Monday to Friday

Weekend Frequency

N/A