Elevance Health - Roanoke, VA
posted 8 days ago
- Entry Level
Roanoke, VA
Insurance Carriers and Related Activities
About the position
The Health Program Representative I will be responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features. This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
Responsibilities
- Gathers and records appropriate member information in accordance with policies and procedures via telephone.
- Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.
- Records call details and utilize call scripts as needed based on client requirements.
- Directs member inquiries to appropriate clinical staff.
- Initiates referrals and manages consults from clinicians for participants registered in Care Management.
- Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.
- Contacts physician offices to obtain demographic information or related data as needed.
Requirements
- HS diploma or the equivalent
- Minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.
Nice-to-haves
- Computer/keyboarding proficiency strongly preferred.
- Knowledge of company products, services and benefits preferred.
- FHPS experience preferred.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
