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Overview
Is it possible to put a value on high quality customer service? Yes! Health insurance providers and health care organizations that make service their top priority understand the tremendous value outstanding customer service brings to their business. In fact, in today’s consumer-centric environment, no one can afford to ignore the role customer service plays in growing a business.
To earn this career-driving professional designation, start by completing the following required online courses:
- Fundamentals of Health Insurance, Part I (Basics of Health Insurance)
- Fundamentals of Health Insurance, Part B (Basics of Company Operations)
- Customer Service Strategies for the Healthcare Environment
Then, take your choice of one of the following electives:
- Long-Term Care Professional )LTCP) - Combined Course
- Long Term Care, Part I (Needs and Options)
- Fraud, Part I (Introduction)
- Disability, Part I (Primer)
Details of electives are available on request.Contact us at Training@iiea.co.ke
Learning Outcomes
When you earn your Healthcare Customer Service Associate (HCSA) designation, you’ll demonstrate to your colleagues, clients, and partners that you have a strong commitment to creating a corporate culture that puts the customer first.
Course Outline
- 1.1: Get the big picture: understand the importance of the life and health insurance industries in the United States
- 1.2: Develop a practical understanding of how health insurance works
- 1.3: Pinpoint the differences between types of coverage, including medical expense, supplemental, long-term care, and disability
- 1.4: Compare different types of health insurance provider organizations
- 1.5: Define the needs met by health insurance providers
- 1.6: Assess the advantages and disadvantages of flexible benefit plans
- 1.7: Explore contract provisions and how individual and group plans are underwritten
- 1.8: Learn how health insurance products are marketed and sold
- 1.9: Understand the role of reinsurance in promoting market stability and lower premiums
- 1.10: Define relevant terms and key concepts
- 2.1: Explore how group health insurance plans are administered
- 2.2: Understand the landmark health care reform initiatives that underpin the health care industry
- 2.3: Get up to speed on premium billing and payment
- 2.4: Learn how to manage, submit, and process claims
- 2.5: Identify best practices for controlling operational costs
- 2.6: Assess how health insurance providers promote cost-effective health care
- 2.7: Put the brakes of fraud and abuse: learn how to define, detect, and prevent it
- 2.8: Nail the concepts behind product pricing strategies
- 2.9: Learn how to navigate the regulatory process at the state and federal levels
- 2.10: Understand how advances in health information technology lead to improvements in health care quality and efficiency
- 2.11: Dive into the concept of medical homes and see how their focus on preventive care lowers costs
- 2.12: Learn the elements, implementation, and expected return from wellness programs
- 2.13: Pinpoint who buys and sells health care and at what pricing levels
- 2.14: Pinpoint who buys and sells health care and at what pricing levels
- 2.15: Assess the federal government's role in advancing cost and quality transparency
- 3.1: How to create a customer-driven organization
- 3.2: Discover time-tested strategies for improving relationships with customers, including how to address the most common customer complains
- 3.3: Become a better manager: learn how effectively manage and tap into the skills of today's multi-generational workforce
- 3.4: Get a solid overview of the accreditation process and how it relates to customer service
- 3.5: Define leadership qualities and the roles of effective leaders
- 3.6: Explore new methods for monitoring problem areas
- 3.7: Take home new tools for analyzing business service cycles
- 3.8: Practice smart tactics for more effective communication
- 3.9: Remove the barriers to outstanding service
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