Outreach & Enrollment Specialist

Renalogic • Dallas, TX

5d • $45,000 - $55,000 • Remote

About The Position

Renalogic is dedicated to helping clients manage the human and financial costs of chronic kidney disease. The Outreach & Enrollment Specialist develops and uses in-depth knowledge of Renalogic programs to support member outreach, engagement, and enrollment. The specialist contacts eligible health plan members and explains Renalogic clinical programs, which offer no-cost health education, coaching, support, and advocacy to people with or at risk of kidney disease.

The role includes eligibility determination and enrollment-related processes, documentation of outreach and health information, coordination with provider offices and internal operational teams, and referral of high-risk members or members with changes in status to Health Coaches and/or Care Managers. The specialist is expected to meet call and enrollment requirements, comply with HIPAA and applicable processes, and work independently while communicating needs and feedback to colleagues and a Coach.

Requirements

• At least 1 year of outbound call and/or enrollment experience.
• At least 1 year of experience selling a program or product to a consumer.
• Remote work experience is required.
• Excellent customer service and interpersonal skills, including the ability to convey empathy when appropriate.
• Ability to flex the schedule at times, including evening and weekend hours to accommodate member schedules.
• Ability and willingness to travel multiple times a year, including overnight stays for corporate gatherings, conferences, and health fairs.
• Ability to attend and professionally engage in video meetings with employees, clients, and members.
• Strong technological skills, including effective use of computers, peripheral equipment, applications, and systems such as Microsoft products.
• Reliable internet and power, with a designated work area that has minimal interruptions.

Nice To Haves

• Clinical or health care experience and knowledge are highly preferred.
• 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 balance competing deadlines while keeping focus on the bigger picture.

Responsibilities

• Make calls and conduct outreach to describe the benefits of Renalogic's program.
• Engage eligible health plan members and enroll them in Renalogic clinical programs.
• Meet call volume and enrollment requirements and adjust outreach approaches as needed or directed, using phone, text, secure online chat, and other communication methods.
• Determine member eligibility and complete enrollment and disenrollment processes in compliance with requirements.
• Partner with operational business units to support company and departmental objectives and follow regulatory guidelines.
• Obtain missing information, such as phone numbers, to complete enrollment questionnaires and document relevant information.
• Contact provider offices to obtain information such as fax numbers and request medical records.
• Anticipate workflow needs based on established processes, policies, and procedures.
• Document outreach efforts in a transparent manner that complies with HIPAA.
• Document health data, identify potential cost-containment opportunities, and refer high-risk situations or changes in status to Health Coaches and/or Care Managers.
• Communicate needs and challenges and provide feedback to peers and a Coach as needed.
• Complete claims and pre-certification reviews as needed.

Benefits

• Market-competitive salary and company stock options.
• Potential annual merit increases and bonuses contingent on the company's fiscal performance.
• Generous time off and paid holidays.
• Partially paid leave for qualifying family or medical reasons after employment eligibility requirements are met.
• Comprehensive health benefits plan with a portion of premiums covered by the company, including medical, dental, vision, life insurance, short-term disability, long-term disability, critical illness, accident, hospital indemnity, identity theft, and pet insurance.
• 401(k) with up to 4% employer match.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed