Job Description
About the position
- Responsibilities
- Completes telephonic outreach to members utilizing auto-dialer and manual dialing
- Receive inbound calls from members and transfers from other departments
- Influences member to fully complete the Pre-Visit Assessment
- Ask member assessment questions and actively listen to member responses
- Accurately document demographic and medical history information in the Pre-Visit assessment
- Ensures member has access to Primary Care Provider (PCP)
- Identifies and documents gaps in care, preventative screenings, allergies, and surgeries
- Provides excellent customer service to both members and providers
- Consistently meets metrics, for quality, productivity, and outcomes
- Constantly maintains schedule adherence and good attendance
- Maintains confidential health information according to state and federal regulations including HIPAA
- Requirements
- High School Diploma / GED OR equivalent experience
- Must be 18 years of age OR older
- 2+ years of call center and / OR telephonic customer service experience, preferably in healthcare
- 2+ years of healthcare experience and / OR social work / community outreach / advocacy experience
- 1+ years of experience with collecting and documenting medical history information and using medical terminology
- Bilingual fluency in English and Spanish
- Work experience with using Microsoft Word (create, edit, and save documents), Microsoft Excel (sorting and filtering data), and Microsoft Outlook (email, folders, attachments, and calendaring)
- Ability to work in the local office if / when system OR internet issues occur
- Ability to work any of our shift schedules during our normal business hours of 9:45 AM - 6:15 PM CST. It may be necessary, given the business need, to work occasional overtime or weekends.
- Nice-to-haves
- Experience with successfully working as a telecommuter
- Experience in working with Medicare and / OR Medicaid members / patients
- Experience with working as a Licensed Practical Nurse (LPN), Certified Medical Assistant (CMA), Community Health Worker (CHW), OR Certified Nursing Assistant (CNA)
- Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
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