Health Program Representative I
Core
Initial contact between Care Management programs and identified members via inbound/outbound calls to provide program information and encourage participation.
Role type
Health Program Representative I (Customer Service/Enrollment)
Builds
Member engagement and enrollment for Care Management programs
Domain
Healthcare administration / Insurance
Deliverable
client delivery
Required skills
Telesales or customer service experience, multi-tasking, verbal and written communication, data recording, call script utilization, referral management, demographic data gathering
Preferred skills
Computer/keyboarding proficiency, knowledge of company products and benefits
Technologies
Digital tools and platforms, electronic queues, call scripts
Responsibilities
Handle inbound/outbound enrollment and engagement calls, gather and record member information, direct inquiries to clinical staff, initiate referrals and manage consults, contact physician offices for demographic data
Seniority
Entry-level, non-management