Health Advocate Solutions, Inc

Personal Health Advocate Health Advocate Solutions, Inc

Remote — United States

Educate members on their medical conditions, diagnostic testing, test results, and available treatment optionsExplain complex medical and benefit-related information clearly and compassionatelyBuild trusted relationships that empower members to actively participate in their healthcare decisions🔹 Care Coordination & System NavigationProvide members with options for healthcare providers and services based on clinical needs, geographic location, and benefit coverageResearch providers through credentialing, education verification, and affiliations with recognized medical centersFacilitate communication between members, treating physicians, and insurance carriersAssist with scheduling and re-scheduling appointments, transferring medical records, resolving access issues, and clarifying benefit provisionsIntercede on behalf of members to obtain earlier appointments or remove barriers to careSupport members with prescriptions, pre-service fee negotiations, and authorization-related challenges🔹 Case Management, Documentation & Follow-UpMaintain accurate, timely documentation using approved case management systems and proceduresPlace outbound follow-up calls when issues cannot be resolved during the initial interactionRespond to delegate box, answer service, and after-hours calls as requiredEscalate cases appropriately and on a timely basis to supervisors or internal clinical resources🔹 Professional Growth & Team ContributionStay current on patient care procedures, diagnoses, authorizations, denials, and evolving healthcare practicesMentor and support new team members as neededCollaborate with colleagues to maintain service excellence and balanced workflowsBSN or RN degree from an accredited college or university (required)Licensure

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