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Health Plan Associate
2 months ago
Firefly Health is seeking a highly skilled Health Plan Associate to join our team. As a Health Plan Associate, you will play a critical role in delivering exceptional customer service to our members, ensuring they receive the best possible care and support.
Key Responsibilities:- Provide timely and knowledgeable responses to member inquiries via chat, email, and phone.
- Assist members with questions regarding the Firefly Health Plan, including provider network, claims, benefits, medications, prior authorizations, and Care-Key requirements.
- Furnish benefits, claim status, eligibility checks, and other information to providers on an inbound and outbound call and email basis.
- Aide and guide members and providers towards prompt resolution of questions and concerns.
- Become an expert on Firefly's Care-Key process, ensuring the highest level of service to our members throughout the referral process.
- Review and compare claims and data to resolve member and provider issues.
- Educate and re-educate providers about the Firefly Health Plan, both proactively and reactively.
- Create and submit single case agreements (SCAs) as needed for out-of-network care.
- Execute courteous, accurate, and prompt follow-up with customers using worklists to manage daily tasks.
- Carry out additional project work to support growth and scalability.
- 1-2 years of health insurance and customer service experience.
- Excellent communication skills and a passion for delivering great service to people, often at stressful moments in their health journey.
- Experience using digital technology to improve service delivery.
- Patient, compassionate, positive, flexible, and willing to go the extra mile to get the job done.
- Organized, thorough, detail-oriented, and coachable.
- Successful remote-work time management skills.
- Ability to work both independently and in a team environment.
Firefly Health is an innovative healthcare company building a revolutionary new type of comprehensive health care and coverage. We're on a mission to deliver clinical and financial health through joyful, always-there care. Our team is passionate about making a difference in the lives of our members and is committed to building a culture of inclusivity, respect, and excellence.
We're an equal opportunity employer and value diverse backgrounds and perspectives. We're committed to building and sustaining an inclusive workplace culture where individuals are treated with dignity and respect.
