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- Description:*
- Outreaches members to schedule appointments and coordinate care for needed services.
- Communicates with provider office staff to schedule member appointments.
- Receives and responds to member and provider phone calls/inquiries, questions and concerns in relation to coordination of member care.
- Answers calls in a pleasant and courteous manner within 30 seconds.
- Routinely accesses member information via multiple computer systems.
- Accurately documents member and provider contacts on the computer system.
- Responsible for ensuring that members receive accurate and complete information.
- Communicates effectively and professionally with members, providers, and state agencies.
- Screens telephone calls and directs to the appropriate area or person as necessary.
- Acts as a liaison between members, physicians, and health plan.
- Researches member concerns and attempts to resolve issue during call.
- Works in coordination with other departments concerning member and provider issues.
- Maintains confidentiality per HIPAA guidelines.
- Skills:*
- Customer Service,
- Healthcare
- Member service
- Additional Skills & Qualifications:*
- 2+ years of strong computer skills
- Ability to communicate with doctors, physicians and registered nurses on a daily basis.
- Ability to multi-task, candidate will be required to manage a high volume of cases and referrals per day.
- High school diploma or general education degree (GED); and two to four years related experience and/or training; or equivalent combination of education and experience.
- Knowledge of word processing software, spreadsheet software, internet software and Epic software.
- Experience Level:*
- Expert Level
About Aston Carter:
Please Note: Scammers are posing as Aston Carter. We’ll never contact you via Gmail, Telegram, or WhatsApp and we’ll never solicit money from you.
At Aston Carter, we’re dedicated to expanding career opportunities for the skilled professionals who power our business. Our success is driven by the talented, motivated people who join our team across a range of positions – from recruiting, sales and delivery to corporate roles. As part of our team, employees have the opportunity for long-term career success, where hard work is rewarded and the potential for growth is limitless. Established in 1997, Aston Carter is a leading staffing and consulting firm, providing high-caliber talent and premium services to more than 7,000 companies across North America. Spanning four continents and more than 200 offices, we extend our clients’ capabilities by seeking solvers and delivering solutions to address today’s workforce challenges. For organizations looking for innovative solutions shaped by critical-thinking professionals, visit [AstonCarter.com.](AstonCarter.com) Aston Carter is a company within Allegis Group, a global leader in talent solutions. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888-237-6835 or email [[email protected]](mailto:%[email protected]) for other accommodation options. However, if you have questions about this position, please contact the Recruiter located at the bottom of the job posting. The Recruiter is the sole point of contact for questions about this position.
