Confirmations Representative, Call Center
Marriott Vacations Worldwide
Call Center Coordinator
Community Care of North Carolina
full-time
Posted on:
Location Type: Remote
Location: Remote • North Carolina • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Conduct continual telephonic outreach to identified and referred members focused on engaging members with care management services.
- Receive/retrieve and manage referrals from callers and/or data reports, linking members with care management needs as identified.
- Complete and document member screenings tools and refer clinical needs to most appropriate clinical care management team member for assessment and follow up.
- Verify demographic information.
- Send educational materials, Welcome Letters, and/or other resources to members, as necessary.
- Assist to identify and address Social Determinant of Health needs.
- Assist with guidance in scheduling medical appointments and transportation as needed.
- Provide information on community resources.
- Assist member with care coordination of resource needs and health care system navigation.
- Provide culturally appropriate general education and information.
- Meet monthly productivity and role expectations.
- Complete all assignments within expected timeframes.
- Perform other duties that assist in keeping the operations organized and functions as needed.
- Notify supervisor promptly of any issues with receiving or sending referrals, making timely care management assignments, or issues with carrying out any other duties assigned.
- Collaborate with the Care Team to address barriers and create efficiencies with processes.
- Abide by department guidelines, company policies, and HIPAA regulations.
- Perform all other duties as requested.
- Attend departmental and corporate meetings.
Requirements
- High School/GED.
- Prior telephonic call center experience desired.
- Minimum of two years previous work experience, preferably in a health care setting.
- Healthcare experience and medical terminology knowledge highly preferred.
- Bilingual preferred
- Managed care experience a plus
Benefits
- n/a 📊 Resume Score Upload your resume to see if it passes auto-rejection tools used by recruiters Check Resume Score
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical terminologycare managementmember screeningsreferral managementcare coordinationschedulingdata reportingcommunity resourceshealth care system navigationproductivity tracking
Soft skills
communicationcollaborationorganizational skillsproblem-solvingcultural competencetime managementinterpersonal skillscustomer serviceadaptabilityattention to detail
Certifications
High School DiplomaGED
