Patient Service Advisor - Conviva Palm Springs

Employer
Humana
Location
Hialeah, Florida
Salary
Not Specified
Posted
Mar 01, 2024
Closes
Apr 28, 2024
Ref
6836844#GIJtoGJS.1
Industry
Insurance
Category
Insurance
Workplace
In-Office
Become a part of our caring community and help us put health first

The Patient Service Advisor is an embedded growth and retention associate responsible for executing initiatives that engage patients in their care, ensure exceptional experience, and drive growth and retention goals. In this role, he or she will become a trusted resource for patients, educating them on services, supporting them through transitions, and providing a personalized care journey. The Patient Service Advisor plays a key role in ensuring success of growth and retention strategies in the center and performance of their associated metrics. We are looking for compassionate individuals with strong communication skills and a proven ability to provide excellent customer service, enhance consumer engagement, and foster growth.

Responsibilities

  • Oversee the implementation of growth and retention initiatives within the center and work closely with staff to ensure execution of tactics are in alignment with best practices.
  • Develop familiarity with patients to build trust and sense of personalization in their care, enhancing their experience.
  • Support the new patient welcome experience by assisting with registration, conducting welcome tour, and providing comprehensive introduction to model of care.
  • Assist patients in navigating services within the health system and educating them about available resources, benefits, and events.
  • Conduct 30/60/90 day follow up outreach after the first appointment and subsequent regular touchpoints utilizing a mix of communication channels, ensuring patients have what they need to stay engaged in their care.
  • Support a variety of growth and retention initiatives through targeted in-clinic engagement and telephonic outreach, inclusive of new member onboarding, provider attribution, attrition mitigation during transitions, and AEP/OEP/SEP.
  • Coordinate with center staff to ensure completion of initiative activities such as patient form fill, administration of screeners, warm handoffs, and material hand out.
  • Execute lead nurture journeys, guiding potential patients through the decision-making process and ensuring a seamless transition to becoming an active patient.
  • Actively capture patient feedback and manage communication loop, partnering with cross-functional teams to find solutions to concerns and respond to patients in a timely manner.
  • Clearly and consistently document patient interactions within EMR and CRM systems to ensure communication of key information to center staff.
  • Partner with internal stakeholders, such as a Broker Managers and Community Engagement Professionals, to bring awareness of services to prospective patients and support growth.
  • Stay informed about local trends and community dynamics to effectively advocate for center during build out of strategies.
  • Drive clinic performance and have a clear understanding of key growth and retention metrics. Metrics may include patient engagement, patient retention, membership growth, and campaign KPIs.
  • Leverage dashboards to provide regular updates on progress and performance of programs, highlighting areas for improvement and proposing solutions to enhance outcomes.
Use your skills to make an impact

Required Qualifications

  • 2+ years of experience in a healthcare setting or related business experience
  • Proficiency in Microsoft Office Programs including Word, PowerPoint, and Excel
  • Demonstrated excellent customer service with verbal, listening and written communication skills
  • Possess strong attention to detail, organization, and time management
  • Comfortable having difficult conversations and overcoming barriers to support patients in their care
  • Must be able to travel between centers in the assigned geographic area
  • Must be Bilingual English/Spanish

Preferred Qualifications

  • Bachelor's degree in business or related field or comparable experience and background
  • Experience working with Senior population
  • Knowledge of Managed care and Medicare
  • Experience using a Customer Relationship Management (CRM) tool (i.e. Salesforce)
  • Experience conducting telephonic outreach to engage patients or consumers

Additional Information

Working hours: Monday to Friday 8AM-5PM

This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Social Security

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

Interview Format: MODERN HIRE

As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Scheduled Weekly Hours

40

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It is the policy of  Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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