Firefly Health

Care Guide

Watertown, Massachusetts, United States

Sponsorship not specifiedDetected 5 days ago

ComplianceCustomer SupportHIPAAPatient CareCommunicationAdaptability

About the role

This is a dynamic role for individuals passionate about healthcare and dedicated to supporting patient well-being in an innovative, virtual-first environment.
Proactive Member Outreach: Initiate proactive outreach to members via chat to encourage their active participation in important health screenings and preventive care programs.
Patient Education & Guidance: Provide patients with clear instructions for follow-up care, medication usage, and health education materials as directed by clinicians.

Patient Connections In-App Patient Chat Management:Efficiently manage in-app patient communication, providing effective responses to inquiries and escalating complex issues to the appropriate Care team members.
Manage medication prior authorizations, submitting them for insurance approval to ensure seamless access to necessary prescriptions.
Meets defined expectations and compliance for outreach volume, chat responsiveness, and follow-up accuracy, and performs other duties as assigned to support team needs.
You will manage a wide range of tasks, ensuring seamless patient journeys and providing essential operational support that empowers our clinicians.
You Will: Patient Connections In-App Patient Chat Management:Efficiently manage in-app patient communication, providing effective responses to inquiries and escalating complex issues to the appropriate Care team members.
Integrated Care Support Medication Prior Authorizations: Manage medication prior authorizations, submitting them for insurance approval to ensure seamless access to necessary prescriptions.
Performance Metrics & Adaptability: Meets defined expectations and compliance for outreach volume, chat responsiveness, and follow-up accuracy, and performs other duties as assigned to support team needs.

Clinical Support Tasks:Perform additional clinical support tasks as required to ensure comprehensive patient care and team efficiency.
Schedule: The candidate who fills this role will be required to work 11 AM - 7 PM ET (or 8 AM - 4 PM PT), 5 days per week.
The candidate who fills this role will be required to work 11 AM - 7 PM ET (or 8 AM - 4 PM PT), 5 days per week.

Proficiency and comfort with new technologies and digital systems.
Strong organizational abilities and meticulous attention to detail.
A proactive mindset for identifying and resolving issues.
A deep commitment to patient satisfaction.
High adaptability and the ability to thrive amidst frequent change in a dynamic work setting.
A solid understanding of and unwavering commitment to HIPAA compliance and patient privacy.

Founded by experienced clinicians and technology leaders, Firefly Health is on a mission to deliver clinical and financial health through joyful, always there care.
We are flipping the script on what it means to be a health plan and actually providing a true health benefit to members.
The Role As a Care Guide at Firefly Health, you'll be a vital member of our integrated care team, providing comprehensive care support services to our members.
Initiate proactive outreach to members via chat to encourage their active participation in important health screenings and preventive care programs.
Provide patients with clear instructions for follow-up care, medication usage, and health education materials as directed by clinicians.
The salary range for this position is $25 per hour to $28 per hour; as part of a total benefits package which includes health insurance, 401k and bonus.
In accordance with state applicable laws, Firefly Health is required to provide a reasonable estimate of the compensation range for this role.

This listing is sourced directly from Firefly Health's careers page and normalized into a canonical job model.