Clinical Call Center Coordinator(Fully Remote)

Nesco Resource•Sacramento, CA
•Remote

About The Position

The Clinical Call Center Coordinator facilitates appointment scheduling for members using effective communication, technology, and customer service skills, and informs members about program benefits. The coordinator collaborates with the internal call center and HEDIS team on workflow improvement, document management, and abstraction education. Other duties may be assigned.

Requirements

  • 1–3 years of call center experience.
  • Excellent oral and written communication skills.
  • Critical thinking skills.
  • Strong organization and ability to keep accurate notes and records.
  • Ability to articulate goals, plan and implement processes, and meet deadlines.
  • Good analytical skills and ability to problem-solve creatively, objectively, and rapidly.
  • Excellent organizational and interpersonal skills.
  • Operational knowledge of managed care or healthcare plans, team members, and clinical staff.
  • Ability to work in a time-sensitive environment.
  • Computer proficiency, including Microsoft Office and data management systems.
  • English and Spanish bilingual.

Nice To Haves

  • Experience coordinating HEDIS activities and working in a Managed, Acute, Provider Care environment.
  • NCQA and HEDIS experience.

Responsibilities

  • Facilitate appointment scheduling for members.
  • Inform members about program benefits.
  • Collaborate with the internal call center and HEDIS team on workflow process improvement, document management, and abstraction education.
  • Perform other duties as assigned.

Benefits

  • Medical coverage through a MEC (Minimum Essential Coverage) plan.
  • Vision coverage.
  • Dental coverage.
  • 401(k).
  • Employee Assistance Program (EAP) services.
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