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Member Relations Specialist

2 months ago

Grand Rapids, United States EXPONENTIAL HEALTH PC Full time
Job DescriptionJob Description

About Exponential Health:

At Exponential Health, we offer unparalleled concierge health services to our members. Our focus on proactive, comprehensive care ensures our members receive the highest level of personalized and luxurious medical care, fostering long-term health and wellness.

Job Summary:

The Member Relations Specialist is a key representative of Exponential Health, responsible for ensuring a seamless and exceptional experience for our members. This role is essential in managing member interactions, both in-person and via phone, and providing administrative support to the clinical team. The ideal candidate will have excellent communication skills, a strong attention to detail, and a commitment to delivering outstanding member service.

Key Responsibilities:

Member Check-In/Check-Out:

  • Greet members upon arrival and ensure a smooth check-in process.
  • Assist members with check-out procedures, ensuring all follow-up actions are scheduled.

Chart Management:

  • Update and maintain member charts with accurate and timely information.

Appointment Scheduling:

  • Schedule appointments and follow-up visits for members, that coordinate clinical team schedules.

Phone Management:

  • Answer incoming calls promptly and professionally.
  • Triage phone calls to the appropriate clinical team members.

Prescription Refill Requests:

  • Take and process prescription refill requests from members.

Referral Management:

  • Manage referrals, ensuring all necessary information is obtained and communicated.
  • Follow up on ordered referrals and obtain notes from referring offices.

Relationship Management:

  • Build and maintain strong relationships with referring offices.

Authorizations:

  • Obtain and manage necessary insurance authorizations for member testing and referrals.
  • Member Follow-Up Calls:
  • Conduct follow-up calls to members to ensure satisfaction and address any concerns.

EMR Inbox Management:

  • Manage and respond to messages in the Electronic Medical Record (EMR) system inbox.
  • Vendor Coordination:
  • Coordinate with vendor representatives to ensure smooth operations and supply management.

Qualifications:

  • Licensed Practical Nurse (LPN) or Medical Assistant (MA) credentials required.
  • High school diploma or equivalent; additional education or certification in healthcare administration is a plus.
  • Previous experience in a healthcare setting, preferably in a concierge or high-end medical practice.
  • Proficient in using EMR systems and other office software.
  • Excellent interpersonal and communication skills.
  • Ability to handle sensitive information with discretion and maintain confidentiality (HIPAA compliance).
  • Professional appearance and demeanor.

Bonus Background/Experience:

  • Experience working in a concierge medical practice.
  • Familiarity with high-level customer service standards.
  • Experience with health insurance authorizations and referral processes.

Benefits:

  • Competitive salary
  • Health, dental, and vision insurance
  • Retirement plan options
  • Paid time off and holidays
  • Opportunities for professional development

How to Apply:

Interested candidates should submit their resume and cover letter via our hiring app.

Equal Opportunity Employer:

Exponential Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.