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Health Services Specialist

English (Proficient)
Accolade Technologies s.r.o.
Full-time • Prague
Seniority: Junior

role overview:

You will be a part of a large team of open-minded professionals with diverse backgrounds and experience. You will join a dynamic work environment and have colleagues from all over the world. Provider Health Assistant answers inbound calls from providers (doctor’s offices) regarding patient-related services such as verification of benefits, verification of eligibility, and other general physician-patient care support needs. You will collaborate with our Member Services team to help families get the most out of their health care benefits and create a best-in-class experience.

Important - working hours form 2pm till 10pm (to overlap with US timzone)

A day in the life…

  • Answering calls in a high volume, fast paced call center environment.

  • Seeking to understand the context behind the provider’s call by probing for information to understand the provider’s questions or support needs in order to ensure first call resolution

  • Working with providers and their office staff, ensure accurate recording of provider’s request is made into necessary systems

  • Offering guidance to providers regarding their patient’s eligibility, coverage, denials and appeals processes

  • Educating providers on how to reduce errors in process due to lack of information and educating them on how to most effectively support their patients in the appeals process

  • Navigating health plan websites to do additional research, supporting our utilization management process answering questions on status and requirements

  • Navigating and providing input to policies, systems, methods, and procedures for the effective management of key business processes

What we are looking for…

  • Previous experience with customer service in healthcare, insurance, pharma or any other industry where technology, multi-tasking and verbal/written communication is used to drive their day-to-day responsibilities.

  • Excellent knowledge of English language, strong communication skills both in written and verbal.

  • Ability to work independently, organize, and prioritize own tasks effectively.

  • Excellent customer service skills; strong verbal and written communication.

  • General computer literacy.

While working in Accolade you will enjoy the following benefits:

  • 5 weeks of vacation + personal days

  • 1 paid day off for your volunteerism per year

  • Cell phone and a plan for unlimited personal use as well

  • Sodexo Gastro Pass Card with no contribution

  • Flexi Pass Card per month or Multisport Card

  • Parental benefits

  • Virtual hospital service uLekare.cz

  • Ginger Emotional Support app (www.ginger.com)

  • Carrott - support on family forming journey (www.get-carrot.com)

  • Fresh fruits and office breakfasts

  • Office events-workshops, tournaments, competitions, raffles. buildings

Previous insurance, benefits experience is not required but an advantage, graduates are encouraged to apply.

Job position benefits

Dog-friendly office More than 5 weeks of vacation Company events and teambuilding Home office Sick days Refreshments Meal vouchers or meal contributions Notebook Superior medical care Mobile phone Bonuses
  Typ úvazku

To apply for this job please visit:

cz.indeed.com