Care Advocate / Benefits Specialist

Company: Alithias
Location: La Crosse
Posted on: May 5, 2022

Job Description:

Care Advocate / Benefits Specialist
La Crosse, WI

Essential Duties and Responsibilities: - Help employees get the most value from their benefit plan.

Full Time Position Available

A promotion has created an opportunity at our La Crosse / Onalaska location. We are seeking a positive, action oriented individual with an understanding of healthcare benefits, either through personal experience, Human Resources training, or as a patient advocate in a health system. -If you have none of these, you must at least be PASSIONATE about helping people manage their healthcare benefits.

Our clients often call us on their worst day, when they have been given a difficult diagnosis or have been told they need a surgery or after they have received a large medical bill. Our job is to assure them that we have their back. You will often be the only person they talk to who understands their condition or specific need. Our Advocates get to know our clients very well, and are often emotional when they can get a "win" for the client. This is a unique position because you will be embedded within two of our clients.

The Care Advocate/ Benefits Specialist works closely with our clients' employees to act as their personal guide to help them understand their benefit plan, identify the correct resources to resolve any issues, act as their advocate to resolve issues on their behalf, identify and guide them to high value healthcare provider options. The Advocate may also facilitate scheduling appointments, help transfer medical records, and work closely with other third party service providers to ensure the employee has received the requested information. Advocates also follow up with the employee to ensure issue resolution and client satisfaction.

This position requires the ability to quickly build positive relationships employees and all third parties involved. You will often act as a "coach," presenting possible solutions for complicated healthcare concerns, including, clearly communicating provider options, confirming network participation of providers, directly or indirectly connecting the employee to the right solution provider, teaching the employee how to use our web based platform, connecting the employee to one of our physician partners or making a smooth hand off of the employee to the proper solution provider. In addition, the Advocate / Benefits Specialist will further support the employee by acting as a resource to explain all other healthcare related benefits, such as information about HRAs and HSAs, employee assistance programs, wellness programs, on-site / near-site clinic information or other healthcare benefits offered by the employer. All client interactions are recorded and entered into our CRM tool.

We need people who:
- - - - - - -Enjoy talking with people on the phone
- - - - - - -Can work independently but want to be part of a team
- - - - - - -Have effective listening skills - listen to understand and confirm your understanding
- - - - - - -Can work in an unstructured environment, and solve problems with little direction, or without well defined processes or systems.
- - - - - - -Have the ability to build positive, trusting relationships with employees
- - - - - - -Ability our software to document interactions and navigate the internet to find pertinent information.
- - - - - - -The ability to Coach and Motivate over the telephone, and present to groups of up to 100 people
- - - - - - -Can maintain strict compliance with HIPAA regulations
- - - - - - -Are compliant with all company policies and procedures
- - - - - - -Have a desire to constantly learn and develop new skills
- - - - - - -Perform additional related duties as assigned by supervisor
Work Experience Requirements / Preferences:
- - - - - - -Human Resources, Insurance industry, Wellness or Teaching experience is a plus Experience with insurance billing or coding practices is helpful
- - - - - - -Excellent computer proficiency (MS Office - Word, Excel, Powerpoint and Outlook)
- - - - - - -Excellent verbal and written communication skills with internal and external customers
- - - - - - -Customer service, retail or any customer facing medical work
- - - - - - -Roles where you have had to work with others to find solutions by identifying the issue, evaluating the best options, and offering solutions in a compelling manner
- - - - - - -Any position where you have worked independently and with little supervision. Once you have completed training, you are essentially running your own business, with no one looking over your shoulder telling you what to do. You will have performance metrics and all activities are tracked digitally - so you can't log in in late or log out early, and all calls are recorded.
- - - - - - -A College Degree is preferred but NOT required. Life experience is more important.

Pay: If Salary: $40,000 - $50,000 annually. If Hourly: $17 - $22 per hour
401K, Vision, Dental, PTO, great people, great clients, rewarding job

Location: La Crosse, Wisconsin
Contact: -Ted Starling by sending your resume to Ted@alithias.com

Keywords: Alithias, La Crosse , Care Advocate / Benefits Specialist, Other , La Crosse, Wisconsin