- Remote, United States
- Remote
- Full-time · Associate
- 1–2 years
Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.
Compensation
Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives.
Responsibilities
- Perform outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service
- Provide support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
- Serve as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols
- Support member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
- Document and maintain non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed