Businessoperations

Immediate need for a talented Bilingual-Member outreach representative (Spanish). This is a 03+months contract opportunity with long-term potential and is located in US(Remote ). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-69602

Pay Range: $18.50 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Shift (Start/End Time): M-TR 10:30-7pm CST. Friday 9:30-6pm CST. Each day 30-minute lunch and (2) 15-minute breaks
• Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services.
• Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.
• In this role one would contact eligible Medicaid members under the client's health plan and offer them their Disease Management Health Coaching program.
• It is a role suited for those comfortable being on the phone and using a computer.
• Day 1 is getting the new hire up and running.
• The new hire would work with the Supervisor and preceptor to insure they have access to the required systems and programs.
• Day 1 would also cover expectations and some self-study on Client's University.
• Day 3 begins the new hires learning journey with our Training Department.
• The learning journey is around 3 weeks long and then the new hire begins to work on their own.
• Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
• May apply working knowledge of assigned health plan(s) activities and resources
• Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols
• Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
• Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
• Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs
• Performs other duties as assigned
• Complies with all policies and standards.

Key Requirements and Technology Experience:

• Key Skills; Health care customer service, Call center, Bilingual-Spanish.
• Requires a High School diploma or GED
  Requires 1 - 2 years of related experience.
• Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service
• Required: i.e. High School diploma.
• Customer service or call center experience, independent worker.
• 1-2yrs of healthcare/Medical call center experience.
• Microsoft
• Computer skills

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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