Provides healthcare specific customer service by contacting health care clients (members), completing assessments, identifying, and providing community resources, connecting members with other providers and community services.
TYPICAL TASKS
- Perform all aspects and requirements related to professional correspondence and data entry for coordinated care activities:
- Use phone system to connect to the appropriate clients
- Always use proper customer service skills and professionalism
- Handle requests for information and data
- Complete member health assessments and health screenings
- Document member information in an internet-based portal in accordance with health plan requirements
- Make referrals to community resources to improve health outcomes
- Follow up with members/participants.
- Enter data for computer entry; establish entry priorities
- Ability to work independently with little supervision to meet weekly and monthly goals
- Report on work completed on a routine basis to establish productivity
- Performs additional tasks as required
KNOWLEDGE, SKILLS AND ABILITIES
- Rely on on-the-job training and experience to accomplish the work.
- Working knowledge of Microsoft Office programs (Word, Excel, Outlook, PowerPoint) and standard office equipment
- Data entry and evaluation
- Strong customer service and interpersonal skills to establish and maintain trusting professional relationships.
- Excellent verbal communication skills face-to-face and telephonically
- Excellent written communication skills (letters, memos, reports, emails)
- Understanding of client confidentiality and HIPPA privacy rules
- Recording client data and accurately entering information into computer systems in a timely manner
- Previous experience working in an office setting and using computerized multi-line call systems
EDUCATION AND EXPERIENCE
- High school diploma or equivalent.
- Experience in healthcare or healthcare customer service required.
- Excellent customer service and verbal telephonic skills.
- Ability to use phone systems and a computer with internet-based software and Microsoft Office/Excel.
- Must possess a current valid Virginia Driver’s license, and meet the agency driving eligibility standards
WORKING ENVIRONMENT
This position is a remote (work from home) position; however, home visits to assigned members may be necessary and required based on client needs. This position requires flexible work hours to include evenings and weekends to ensure member engagement. Home based internet service preferred. Must have reliable transportation and a valid driver’s license. The Corporate office located is in Norfolk, Virginia. On-site work may also be required for training.
Disclaimer: This job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. From time to time, the supervisor will ask job holder to perform additional duties related to the completion of the work.