Outreach & Enrollment Specialist, Bilingual
Renalogic
full-time
Posted on:
Location Type: Remote
Location: Illinois • United States
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Salary
💰 $55,000 - $65,000 per year
Job Level
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
- 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 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
- Ability to attend and professionally engage in video meetings with other employees, clients, and members
- Strong technological skills, meaning you can effectively and efficiently use computers, peripheral equipment, and applications/systems, 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
Benefits
- Market competitive salary and company stock options
- Potential for annual merit increases and bonuses contingent on the company’s fiscal performance
- Generous time off and paid holidays because we appreciate recharging
- A comprehensive health benefits plan with a portion of premiums covered by the company
- Benefits include medical, dental, vision, and other optional benefits
- Eligibility to participate begins the first of the month following 60 days of employment
- 401k with up to 4% employer match
- Eligibility to participate begins the first of the month following 6 months of employment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
outbound call experienceenrollment experienceselling experienceclinical knowledgehealth care knowledgeclaims reviewpre-certification review
Soft Skills
customer service skillsinterpersonal skillsempathyself-startercreative mindsetwritten communication skillsoral communication skillsproblem-solvingtime managementadaptability