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SalaryYour Future Evolves Here
Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones.
Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
Our Representative, Client Services candidates can anticipate a role that plays a pivotal part in ensuring client satisfaction while working directly with the Client Services department and being responsible for completing patient and provider notifications to inform of medical treatment determinations in accordance with departmental policies, regulatory requirements, and client contractual agreements. Joining our team offers the satisfaction of contributing to an engaged team with a streamlined process and being a key link in our commitment to delivering exceptional service and better health outcomes.
Collaboration Opportunities:
- Representatives will be working with and providing support to health plans, providers, support staff and Clinicians. Leadership rewards and regularly recognizes employees for performance in an environment that challenges while providing clear direction and support to foster success in the role.
What You’ll Be Doing:
- Receive inbound calls in a Call Center environment from providers, health plans and patients.
- Issuing referrals to Specialists
- Make telephonic outreach to health plans, provider offices and patients.
- Complete notifications telephonically as well as by generating letter notifications to inform of medical treatment determinations.
- Utilize engagement strategies to build rapport.
- Accurately document information received from members, provider offices, and health plan clients into Evolent’s online clinical system.
- Perform clerical duties such as faxing and scanning documents, creating shipping labels, preparing letters and parcels using office machines, such as printers, photocopies, scanners, facsimile machines, telephone and voice mail systems and computer-based programs such as Microsoft Office.
- Support UM functions by performing activities that do not require evaluation or interpretation of clinical information.
- Assist in completing daily tasks by participating in meetings and working closely with the management team and Client Services staff.
- Perform other duties as assigned.
Qualifications Required and Preferred:
- 1+ year call center experience. – Required
- Health care/pharmacy experience. – Preferred
- Customer Service experience. – Preferred
- Bilingual English and Spanish. - Preferred
- Strong attention to detail and organization. - Required
- Strong listening skills. - Required
- Ability to use positive language and exercise patience. - Required
- Good Interpersonal, oral, and written communication skills. - Required
- Integrity and discretion to maintain confidentiality of members, employee, and physician data. - Required
- Ability to work in a team environment. - Required
- Willingness to learn new skills. - Required
- Strong work ethic built on a foundation of proactivity and teamwork. - Required
- Computer proficiency in Microsoft Office. - Required
Technical Requirements:
We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.
Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.
The expected base salary/wage range for this position is $17.30-$18.00/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.
