Costco Remote Jobs (No Degree, No Experience Work) – Part Time – US

Costco Remote Jobs (No Degree, No Experience Work) – Part Time – US

Position Precis

The Motive Of This Position Is To Facilitate Phone-Based Totally Patron Interplay To Cope With Complex Member Needs And Offer Suggestions On Services That May Help Close Gaps In Take Care Of Our Member And/Or Our Member’s Circle Of Relatives. This Function Is Expected To Advise On Behalf Of Our Participants In A Compassionate Manner To Satisfy Their Healthcare Needs. Recommend Builds Trust With Contributors Throughout Their Fitness Care Lifecycle.

Task Additives And Number One Obligations:

• Propose For The Member And/Or Caller Using Making The Interaction Problem-Unfastened. Some Examples Might Consist Of Contacting Companies, Pharmacies, Or Ancillary Vendors.
• Compassionately Very Own Hassle Via To Decision On Behalf Of The Member In Real Time Or Via Comprehensive And Well Timed Follow-Up With The Member.

• Efficaciously Ensures Members Are Linked To Suitable Professionals And/Or Enrolled In The Appropriate Applications, Based Totally On Member Needs And Eligibility.
• Show Information Of Applicable Health Care Terminology (E.G., Clinical, Dental, Behavioral, Vision)
• Reveal Knowledge Of Relevant Products/Offerings (E.G., Advantage Plans, Disability, OTC, HRA,)
• Make Certain Compliance With Relevant Prison/Regulatory Requirements (E.G., HIPAA, Nation/Nearby Necessities)
• Maintain Know-How Of Data/Technique Changes Because Of Healthcare Reform By Using Regarding Applicable Employer Assets (E.G., Established Age, Removal Of Lifetime Limits, Free Preventive Care Services, Lack Of Medicaid)
• Show Knowledge Of Hooked Up Workflows And Aid Processes (E.G., Available Sources, Medicaid Country Specifics)
• Identify Inaccurate/Inconsistent Information Observed In Systems/Tools And Speak To Appropriate Sources
• Communicate Not Unusual Problems/Questions Presented Using Callers To Suitable Issue Be Counted Professionals To Pressure Non-Stop Improvement
• Educate Callers On Self-Carrier Sources To Be Had To Them And On Their Duties Regarding Their Health Care Coverage
• Refer Individuals/Callers To Other Resources Relevant To Their Questions/Troubles Wherein Suitable (E.G., Pharmacists, Earlier Authorizations, Billing Branch, Transportation, And So On.)

Name Types:

• – Scientific Advantages, Eligibility, And Claims
• – Terminology And Plan Layout
• – Billing Inquiries
• – Pharmacy Advantages, Eligibility And Claims
• – Correspondence Requests
• – Appropriately Capture Member Grievances And Record Willpower Requests

Compassionately Teach Contributors About The Basics Of Health Care Advantages Such As:

• – Coping With Health And Nicely Being
• – Offer Next First-Class Moves On Account And Comply With Up Correctly
• – Assist Individuals In Appointment Scheduling To Proactively Cope With Gaps In Care
• – Issuer Education And Deciding On The Best Care Issuer
• – Maximizing The Fee In Their Health Plan Advantages
• – Pre-Authorization And Pre-Dedication Requests And Standing
• – Research Complex Issues Across More Than One Applications And Paintings With Aid Assets To Remedy Consumer Troubles
• Meet The Performance Desires Installed For The Position Inside The Regions Of: Efficiency, Name First-Class, Purchaser Delight, First Call Decision, Advocate4Me, Compliance, Client Comply With-Up, And Attendance.
• Offer Compassion And Maximize Use Of Community Offerings, Support Applications, And Sources Available To Member.
• Complete Observe Up With Member As Suitable.

Qualifications

Advocates Are Experienced In Member Equipment, Gain Interpretation And Correct Documentation To Interpret State Of Affairs And Proactively Cope With Member Problems. Advocates On This Function Will Proactively Have Interaction Individuals In New Opportunities To Shut Gaps In Care.

Schooling And Experience

Excessive Faculty Diploma Or GED Is Suitable.

• 2+ Years In A Customer Support Environment Or Equivalent Customer Service Capabilities And Enjoy
• 1 12 Months Revel In In Fitness Care/Coverage Environment Required (Familiarity With Clinical Terminology, Fitness Plan Files, Claims, Or Gain Plan Design Are Examples).

Know-How, Talents, And Competencies

• Demonstrated Ability To Show Empathy And Compassion During Every Interplay.
• Demonstrated Capability To Construct Rapport And Respond To Customers In A Compassionate Manner By Identifying And Exceeding Customer Expectations (Responding In a Respectful, Well Timed Manner And Delivering On Commitments).

• Tested Capability To Pay Attention Skillfully, Collect Applicable Statistics, Determine Immediately Requests And Perceive The Contemporary And Future Needs Of The Member.
• Ability To Overcome Objections And Convince Individuals To Do So / Exchange Conduct.
• Capacity To Make Use Of More Than One Structures/Structures Even As On A Name With A Member – Robust Laptop Abilities And Technical Flair.
• Proficient Problem-Fixing Technique To Quickly Examine Cutting-Edge Kingdom And Formulate Pointers.
• Talented In Translating Healthcare-Related Jargon And Complex Processes Into Easy, Step-With The Aid Of-Step Commands Customers Can Understand And Act Upon.

• Flexibility To Customize Technique To Satisfy All Varieties Of Member Verbal Exchange Patterns And Personalities.
• Amazing Struggle Management Capabilities Which Include:
• Professionally And Adeptly Solve Problems Even As Beneath Strain
• Diffuse War And Member Misery
• Demonstrate Non-Public Resilience
• Sturdy Verbal And Written Verbal Exchange Capabilities. Solid Time Control Skills.
• Sturdy Attention To Element.
• Bi-Lingual Applicants Favored (English/Spanish).