Client Implementation Specialist
Health Plans, Inc.
Outreach and Enrollment Specialist, Bilingual
Renalogic
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $40,000 - $50,000 per year
Job Level
Junior
About the role
- Make calls and outreaches in English and Spanish and describe the benefits of our program.
- Engage with and enroll eligible health plan members into ImpactCare and/or ImpactAdvocate programs, which provide no-cost health education, coaching, support and advocacy to individuals with or at risk of kidney disease.
- Meet call volume and enrollment requirements; proactively assess and revise approach as needed or directed using multiple forms of communication (i.e. phone, text, secure online chat).
- Determine eligibility and perform various enrollment and disenrollment processes for related members to ensure compliance.
- Partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guide lines.
- Obtain missing information and data, such as phone numbers, to complete enrollment questionnaires and document important information.
- Contact provider offices to obtain information such as fax numbers and request medical records.
- Anticipate workflow needs based on established processes, policy, and procedures.
- Appropriately document all outreach efforts in a way that promotes departmental transparency and complies with HIPAA.
- Appropriately document health data which includes identifying potential cost containment opportunities; refer high-risk or changes in status situations to Health Coaches and/or Care Managers.
- As needed, communicate needs, challenges, and provide feedback to peers and Coach.
- As needed, complete claims and pre-certification reviews.
Requirements
- Must have at least 1 year of outbound call and/or enrollment experience.
- Must have at least 1 year of experience selling a program or product to a consumer.
- Bilingual in English and Spanish is required.
- Clinical or Health Care experience and knowledge highly preferred.
- Excellent customer service and interpersonal skills, including conveying empathy when necessary.
- Ability to work Pacific Standard Time hours to accommodate our prospective members.
- Remote work experience is required.
- Ability and willingness to travel multiple times a year, which will include overnight stays for corporate gatherings, conferences, and health fairs.
- Ability to attend and professionally engage in video meetings with other employees, clients, and members.
- Strong technological skills, including Microsoft products.
- Autonomous self-starter who is comfortable with ambiguity.
- Creative mindset and ability to appropriately challenge the status quo.
- Superb written and oral communication skills.
- Ability to overcome obstacles with a ‘yes if...’ approach.
- Ability to effectively balance competing deadlines without losing focus on the bigger picture.
- Reliable internet and power with a designated area to conduct work with minimal interruptions.
