Wellness Coach

Bailey Finch Associates are delighted to assist our client with the role of Wellness Coach within their business.

Wellness Coach - Dorset

Primary Responsibilities:
•    Act as a subject matter expert for other team members
•    Manage the intake of members or the admission/discharge information post notification
•    Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providers
•    Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
•    Provide appropriate triage and care coordination notification cases for non-clinical assessment/intervention
•    Process notification requirements
•    Assist the clinical staff with setting up documents/triage cases for Clinical Coverage review

Handle resolution/inquiries from members and/or providers that may include:

•    Benefit and Eligibility information
•    Billing and Payment issues
•    Customer material requests
•    Physician assignments
•    Authorization for treatment

Wellness Coach - provides telephonic coaching behavioral change support to clients enrolled in service.
Coaching experience and a background working in wellness or health promotion field.
Able to work to targets, make onward referrals and complete data base.
Needs to be able to work independently and manage own caseload but understand when to triage/ defer to other services.

Required Qualifications:

2+ years of customer service experience analyzing and solving customer problems
Must be able to create, edit, save and send documents utilizing Microsoft Word and Excel
Must be able to navigate a PC to open applications, send emails, and conduct data entry
Experience working within the Healthcare Industry
Working Knowledge of Medical Terminology to communicate with members and providers

Preferred Qualifications:

Experience working with Healthcare Insurance
Worked within a Hospital, Physician's Office, or Medical Clinical setting.
Professional experience in a clerical or administrative support related role
Experience working in a call centre environment

If this role sounds of interest to you, please forward your cv in the first instance to Bailey Finch Associates who are acting as a recruitment agency with with vacancy.