Care Engagement Specialist 1 - 210938

TEKsystems•Jeffersontown, KY

3d•$23 - $23•Remote

About The Position

We are looking for people who can engage others in conversation with the main goal being able to get the annual wellness visit scheduled. We are a telephonic team reaching out to our most vulnerable Medicare members who remain non-compliant for their annual preventive screenings and preventive visit. (outbound calls, about 10 calls per hour) documenting assessment applications. Proficient in excel and word doc. We expect our team to reach out to 10 members per hour. The role is designed to assist the members with scheduling an appointment with their provider and addressing all open care gaps. This role provides educational information, along with SDoH barriers support. Weekly office hours for questions and monthly 1on1’s with provided support via group chat. Resource folder available to utilize for questions. Position Purpose: Care Engagement is responsible for supporting the organizations goals of obtaining health needs screenings scheduling preventive service appointments and educating members on plan benefits and services. Provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care.

Requirements

High School diploma or equivalent and 3 years of sales experience in a call center or other high-pressure sales environment or experience in member provider customer service or call center or bachelor's degree in healthcare business administration or related field and 1 years of sales experience in a call center or other high-pressure sales situation or experience in member provider customer service or call center.
Proficient in excel and word doc.

Nice To Haves

Bilingual in Spanish and English preferred.

Responsibilities

Make outbound or receive inbound calls from members to schedule doctor appointments assist members that need to complete Health Needs Screenings or make payments to become eligible for enhanced benefits.
Influence members to take advantage of additional benefits available by educating members on enhanced services that are available and recommending preferred providers.
Educate members on utilization of Emergency Departments in non-emergent conditions and the impact to their benefits.
Identify and overcome barriers in order for members to complete needed health screenings obtain needed services or make payments to secure enhanced benefits.
Review each member profile prior to outreach to identify areas of opportunity which includes but is not limited to reviewing additional benefits available for members and identify opportunities for members to become eligible for additional benefits.
Participate in continuous quality improvement initiatives to ensure department and company goals are met and exceeded.
Review and analyze data for call reports to make adjustments as needed to call approach for members in order to obtain information.
Act as a secondary resource for the Member Services or Provider Services call centers.