SUMMARY:
Under general supervision is responsible for helping members with any issues related to their Health and Wellness Benefits and enrolls prospective participants in appropriate programs. The ideal candidate will be a trusted go-to health resource for Health and Wellness programs and answer inbound and place outbound calls regarding Health and Wellness programs.
RESPONSIBILITIES/TASKS:
* Handles member questions regarding group health and wellness solutions and requirements.
* Engage perspective participants in a discussion around program benefits and enrollments for health and wellness services
* Assists with coordination of services with providers
* Handles referrals from providers/members
* Provides navigation/support for member portal interaction
* Schedules initial appointments for members
* Administer member satisfaction surveys
* Assist in the documentation of departmental procedures.
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
EMPLOYMENT QUALIFICATIONS:
EDUCATION:
High School Graduate or GED equivalent required. Bachelor's degree in a health care related field is preferred. Continuous learning, as defined by the Company's learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged.
EXPERIENCE:
Two years experience in healthcare delivery system, provider office, or the insurance industry required. Three to five years work experience in customer service/sales is required. Computer skills intermediate/advance is required. 2-3 years work experience inbound/outbound call center is preferred. Motivational interviewing experience is preferred. Experience with working in the CareAdvance platform is preferred.
SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:
* Working knowledge of personal computers.
* Strong analytical and problem solving skills.
* Other related skills and/or abilities may be required to perform this job.
WORKING CONDITIONS:
Work is performed in an office setting with no unusual hazards.
The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.
We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
