Provider Service Specialist (Guide)

| Waltham
A bit about us:
We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being.
That’s why we’re gathering a whole bunch of smart, big-hearted people to create a new kind of healthcare company — one that combines compassion, health insurance, clinical care, and technology seamlessly.
We want to throw the long ball with people we love for a cause we believe in. Life is short. Join us.
Provider Service Guide:
As a Provider Service Guide, 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 Guides 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 have an approachable and professional communication skills- both written and oral
  • A comfort level with discussing Devoted Health with providers and their staff
  • You enjoy interacting with providers in their staff to discuss Devoted Health

Desired skills and experience:

  • Bachelor’s degree or equivalent experience in health care
  • 2-3 years Customer Service experience
  • Previous data entry experience requiredVery strong verbal and written communication skills
  • Must be detail oriented and able to work independently in a fast changing environment
  • Strong understanding of Medicare and healthcare operations

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!

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Technology we use

  • Engineering
    • GolangLanguages
    • PythonLanguages
    • TypeScriptLanguages
    • ReactLibraries
    • recomposeLibraries
    • Apollo GraphQLLibraries
    • AngularJSFrameworks
    • gRPCFrameworks
    • AWSFrameworks
    • PostgreSQLDatabases
    • RedshiftDatabases

Location

Our sunny office is in the beautiful Watch Factory alongside the Charles River in Waltham. It's easily reachable by commuter train, bus, or bike.

What are Devoted Health Perks + Benefits

Devoted Health Benefits Overview

We offer bright, open office space with plenty of flexibility, awesome colleagues and a strong focus on our mission and supporting the work/life balance of all Devotees. We believe that taking care of ourselves will help us deliver the best possible service to our members.

We offer a free(100% employer paid) HMO Plan through Blue Cross Blue shield for our employees and their families. We also offer a PPO plan at a very limited cost.

Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Dental Benefits
Fully company paid through Blue Cross Blue Shield
Vision Benefits
Fully company paid through Blue Cross Blue Shield
Health Insurance Benefits
We offer a free(100% employer paid) HMO Plan through Blue Cross Blue shield for our employees and their families. We also offer a PPO plan at a very limited cost.
Life Insurance
Offered through the Hartford
Wellness Programs
Wellness program where you can earn money back for healthy behavior along with an onsite gym and cross fit classes onsite
Onsite Gym
Yes, in our facility
Retirement & Stock Options Benefits
401(K)
Yes, we offer a 401K
Company Equity
Equity offered to all Devotees
Child Care & Parental Leave Benefits
Generous Parental Leave
We offer 3 months fully paid for maternity leave and 1 month paternity leave
Flexible Work Schedule
Family Medical Leave
Yes
Vacation & Time Off Benefits
Unlimited Vacation Policy
Generous PTO Polity
Generous PTO
Perks & Discounts
Casual Dress
We embrace the "bring your whole self to work" mantra and want folks to feel comfortable doing their best work
Company Outings
Company retreats, happy hours and team events
Stocked Kitchen
We offer healthy snacks including fresh fruit, bagels and cream cheese, popcorn, energy bars and dark chocolate.
Some Meals Provided
Free lunch weekly
Parking
Free parking onsite
Fitness Subsidies
BCBS reimburses up to 3 months of health club fees
Professional Development Benefits
Job Training & Conferences
We encourage and support our employees in continuing their educational endeavors.
Diversity Program
Devoted has a strong focus on building the most diverse and inclusive workforce we can. We won a 2018 NEVY award for diversity

Additional Perks + Benefits

The people at Devoted are drawn together with the common mission of making a material difference in the healthcare system as a whole and specifically in the lives of the members we serve. We are the type of company that supports employees as they move through the stages of their life while providing constant learning and opportunities for growth and change.

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