Imagine 360

https://imagine360.isolvedhire.com/jobs/

Example posting: 

Imagine360 is seeking a Care Access Guide to join the team!  This position is responsible for researching all requests that could not achieve first call resolution and require further research and outreach. This work is inclusive of provider research utilizing internal and external technologies, negotiation with out of network providers, and other required tasks to coordinate medical services for our members.

Position Location: 100% remote

Responsibilities include but are not limited to:

• Coordinate with Navigation team to research provider accessibility and appointments for our members. Contact multiple provider offices and work with their staff to ensure plan acceptance and available access to scheduling care.
• Coordinate related internal and external logistics to streamline the member experience. IE: retrieval of medical records, email communications, miscellaneous administrative functions/tracking.
• Exercise good business judgement and time management skills while researching assigned cases.
• Ability to follow outlined call procedures and documentation templates.
• Ability to meet competitive outbound production goals.
• Accurately track and document applicable actions taken utilizing i360 proprietary software.
• Provide critical related data reporting as needed.
• Display superior conversation skills with providers and office staff, including the ability to explain who we are, and "get to yes" when discussing patient acceptance.
• Interact and build relationships with clinicians and service providers while leveraging our proprietary technology to streamline and simplify healthcare complexities and make it easy for our members to work with us.
• Participate in special projects and developmental opportunities, as available, to gain business exposure and build a rewarding career with i360!