Provider Service Guide


 
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

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Job Description
A bit more about this role:
As a Provider Service Guide for Devoted, you will be the voice of the Provider working on the front lines of addressing and understanding Provider needs. You will serve as the primary Devoted Health contact for health care providers to resolve issues relating to services those providers are delivering for our members. The Provider Service Guide provides exceptional customer service responding to inquiries from providers. You will answer questions from providers regarding what services are covered under our plans and the status of their medical claims. You will also help to educate providers on Devoted Health policies and procedures to include products, benefits, claims, referral and eligibility verification processes, utilization management guidelines, etc. As a Provider Service Guide you will conduct research and work with the rest of the Devoted Health team to resolve provider issues. You will work collaboratively with internal partners to reduce provider issues and implement long term solutions to problems identified.
Responsibilities will include:
  • Identifies and resolves provider issues by researching causes and working with Devoted Health’s clinical and operations teams
  • Responds to provider calls on the Provider Services Line queue as well as emails, voicemails and faxes seeking assistance
  • Utilizes necessary resources and navigate systems efficiently to accurately verify eligibility and provide verification of benefits
  • Assist providers in using Provider Portal
Attributes to success:
  • You have the ability to articulate Devoted policies and procedures
  • You enjoy research and working with teams to resolve issues
  • You are approachable and have professional communication skills- both written and oral
  • A comfort level with discussing Devoted Health with providers and their staff
You enjoy interacting with providers and their staff to discuss Devoted Health You thrive in an environment that is fast-paced, collaborative, and challenging
Desired skills and experience:
  • Ability to work in a start-up fast-paced environment
  • Bachelor’s degree or equivalent experience in health care
  • 2-3 years Customer Service experience
  • Previous data entry experience required
  • Very strong verbal and written communication skills
  • Must be detail oriented and able to work independently in a fast- paced environment
  • Previous Health Plan, Claims, or Billing experience is a big plus
Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.
If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!
#LI-DNI
Salary Range: $26.00-$27.65 per hour
Our Total Rewards package includes:
  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus or commission eligibility for all roles
  • Parental leave program
  • 401K program
  • And more....
  • Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, years of relevant experience, education, credentials, budget and internal equity).
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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