Unlock a Rewarding Career with a Purpose-driven Organization
At Workwarp, we're proud to partner with Wellmark, a mutual insurance company dedicated to the well-being of its members across Iowa and South Dakota. With a legacy spanning over 80 years, Wellmark has built a reputation on trust, putting its members first, and delivering exceptional service. If you're passionate about making a difference in the healthcare industry and joining an organization that prioritizes sustainability, innovation, and customer-centricity, we invite you to explore this exciting opportunity.
About the Role: Remote Health Services Representative
We're seeking a highly skilled and motivated Health Services Representative to join our remote team, providing critical support to Wellmark's care management teams. As a key member of our Health Services team, you'll play a vital role in ensuring seamless communication between clinical staff, Medical Directors, and other stakeholders. Your primary responsibilities will include:
- Making outbound calls to clinical staff regarding denials for services and admissions, as well as scheduling peer-to-peer reviews for Medical Directors.
- Completing prompt and professional outbound phone and fax inquiries to obtain member discharge dates and request clinical information as directed by Care Coordination Nurses.
- Providing backup support for other Health Services team members as needed.
- Maintaining accurate records and ensuring timely follow-up on outstanding tasks.
About You: A Dedicated Healthcare Professional
We're looking for a talented individual who is passionate about delivering exceptional administrative support in a fast-paced healthcare environment. If you're a motivated and organized professional with a high attention to detail, we encourage you to apply. You'll need to be able to:
- Advocate for stakeholders through collaboration with multi-disciplinary teams.
- Manage a large variety of responsibilities while staying organized and focused.
- Communicate complex concepts clearly and concisely to stakeholders through strong written and verbal communication skills.
- Demonstrate active listening skills through telephonic communication to obtain necessary information.
Essential Qualifications
To succeed in this role, you'll need:
- A High School Diploma or GED.
- 1+ year of related experience in the health insurance or healthcare industry, with knowledge of health insurance terminology and medical coding.
- Experience producing medical reports, correspondence, records, patient care information, statistics, medical research, and/or administrative material.
- Proficiency with Microsoft Office applications.
- Experience working in a team environment and establishing relationships with members and providers.
- The ability to work in a fast-paced environment where production and/or quality goals are measured.
- A demonstrated commitment to timeliness, prioritization, accuracy, and attention to detail.
Preferred Qualifications
While not required, the following qualifications will give you a competitive edge:
- Experience working in a remote or hybrid environment.
- Knowledge of healthcare operations and care management processes.
- Certifications or training in medical coding, health insurance, or a related field.
Career Growth Opportunities and Learning Benefits
At Workwarp and Wellmark, we're committed to helping our team members grow and develop their skills. As a Health Services Representative, you'll have access to:
- Ongoing training and professional development opportunities.
- Career advancement opportunities within the organization.
- A collaborative and supportive work environment that fosters learning and growth.
Work Environment and Company Culture
We're proud of our company culture, which prioritizes:
- Flexibility and work-life balance, with the option to work remotely or in a hybrid schedule.
- A collaborative and supportive team environment.
- A commitment to sustainability, innovation, and customer-centricity.
- Competitive compensation and benefits packages.
Compensation, Perks, and Benefits
We offer a competitive salary and a comprehensive benefits package, including:
- A competitive salary structure.
- Opportunities for professional growth and development.
- A comprehensive benefits package, including health, dental, and vision insurance.
- Paid time off and holidays.
- Access to innovative technologies and tools.
Join Our Team: Apply Today!
If you're a motivated and dedicated healthcare professional looking for a rewarding career with a purpose-driven organization, we encourage you to apply for this exciting opportunity. Don't hesitate - apply today and let's build the future together!
Please note that this role will require training for the first 4 weeks at our Des Moines, Iowa office, after which you'll have the option to work remotely or in a hybrid schedule based on your preference.
Apply Now