Outreach Specialist

Spectrum Healthcare Resources • Honolulu, HI

1d

About The Position

Spectrum Healthcare Resources has a potential need for a Outreach Specialist - Medical Assistant. As an Outreach Specialist, you play a pivotal role in the engagement and enrollment of TriCare beneficiaries in Case Management, Care Coordination and Disease Management programs. You will make outbound and receive inbound phone calls to influence beneficiaries to actively manage their healthcare, obtain needed resources, and understand all the TriCare benefits afforded to them. You set the stage for increased engagement and adherence to our program by utilizing motivational interviewing and other techniques to identify motivations, goals and clinical needs of TriCare beneficiaries.

Requirements

• High School Graduate or equivalent GED.
• Minimum 2 years’ experience in a Call Center environment.
• Experience within the healthcare industry and operations along with medical terminology
• Prior experience in a Managed Care Organization (MCO)

Nice To Haves

• Certified Medical Assistant (CMA)
• Certified Nurse’s Aide (CNA)

Responsibilities

• Review each beneficiary’s profile prior to outreach to identify areas of opportunity, which includes but is not limited to reviewing additional benefits available for beneficiaries and identify opportunities for beneficiaries to become aware of additional benefits.
• Identify and overcome barriers in order for beneficiaries to complete needed health screenings and obtain needed services.
• Act as a subject matter expert on clinical programs, tools and benefits in order to ensure beneficiaries understand what valuable services and programs are available to them.
• Prep and schedule beneficiaries for their initial appointment with a clinician or health coach.
• Documentation of preferred beneficiary outreach and communication preferences.
• Comply with HIPAA privacy laws and all other federal, state, and local regulations
• Protect and maintain the confidentiality of company and customer information, policies, and processes
• Performs other duties as assigned

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 251-500 employees