Care Guide Advocate/Patient Registration Representative jobs in United States
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Blue Cross and Blue Shield of Kansas City · 2 months ago

Care Guide Advocate/Patient Registration Representative

Blue Cross and Blue Shield of Kansas City, through Spira Care, is seeking a Care Guide Advocate who will play a vital role in enhancing patient experiences within their Care Teams. The role involves managing patient interactions and assisting them in navigating healthcare complexities to ensure a seamless and transparent experience.

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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Provide a high degree of customer service and professionalism when interacting with patients in person, by phone or email; ability to emphasize with patients and diffuse difficult situations professionally and in a caring manner
Checks patients in and out for appointments/services; ensures follow-up appointments are scheduled at the appropriate interval. Works through assigned EMR inboxes
Assists patients with completion of paperwork upon registration. Notifies the appropriate staff member and assists the patient in being seen in a timely manner
Manages projects, competing priorities and deadlines to ensure project timelines are met and patients receive information in a timely manner
Assist Care Guide RN with care coordination including pre-visit planning, clinical pathway adherence, care gap identification and management, ER/inpatient discharges, transitions of care in conjunction with clinical team collaboration
Ensures accurate and complete information within electronic medical records system; assists with uploading medical records or forms to patient’s chart in an accurate, timely and compliant manner
Protect/observe patient privacy and confidentiality, per external regulatory requirements (HIPAA) and internal policy and procedure
Ensure front desk and lobby area remain neat and organized; responsible for restocking supplies, disinfecting furniture/toys, and resetting conference room
Maintains confidentiality of all regulated information in compliance with state and federal laws; Reads, understands and follows medical policy and all corporate, divisional and departmental policies and procedures. Including but not limited to: Protected Health Information (PHI), Personal Identifiable Identification (PII). Meets individual quality performance standards and annual targets for program performance as mutually agreed to by management team to maximize program value. Ensures compliance with applicable URAC and NCQA accreditation guidelines and state and federal regulations
May be required to travel between Care Centers

Qualification

Electronic Medical Record systemsCustomer serviceMicrosoft Windows applicationsHealthcare experienceCare coordinationVerbal communicationProblem-solvingFast-paced environmentConfidentiality compliance

Required

High School diploma
2-3 years in customer service
Strong computer skills and experience with Electronic Medical Record systems
Intermediate knowledge of Microsoft Windows applications
Exceptionable verbal communication skills
Ability to work effectively in a fast-paced environment with competing priorities
Ability to effectively present information and respond to questions from groups of managers, members, external resources, and our patients
Ability to define problems, collect data, establish facts, and draw valid conclusions and action plans
Ability to work with a variety of member tools/applications used to access and document health and basic insurance information and support member interactions thru various communication channels (phone, chat, email, etc.)
Spira Care has specific vaccination requirements as a condition of employment. You must be able to comply with this condition of employment with or without reasonable accommodation based on a sincerely held religious belief or a disability

Preferred

Experience in healthcare or medical office
Experience with Athena Health EHR

Benefits

Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute
Annual incentive bonus plan based on company achievement of goals
Time away from work including paid holidays, paid time off and volunteer time off
Professional development courses, mentorship opportunities, and tuition reimbursement program
Paid parental leave and adoption leave with adoption financial assistance
Employee discount program

Company

Blue Cross and Blue Shield of Kansas City

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Blue Cross and Blue Shield of Kansas City (Blue KC) is an independent licensee of the Blue Cross Blue Shield Association and a not-for-profit health insurance provider serving more than one million members in 32 counties in greater Kansas City and northwest Missouri and Johnson and Wyandotte counties in Kansas.

H1B Sponsorship

Blue Cross and Blue Shield of Kansas City has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (4)
2023 (3)
2022 (3)
2021 (3)
2020 (5)

Funding

Current Stage
Late Stage

Leadership Team

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Erin Stucky
President and CEO
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Amber Mustard
Chief Technology Officer
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Company data provided by crunchbase