Location: Chantilly, Virginia
Work Hours: Monday - Friday 8:00 5 p.m. EST
Provides initial contact between distinct Quality Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.
Primary duties may include, but are not limited to:
Gathers and records appropriate member information in accordance with policies and procedures via telephone.Encourages members to participate in the Quality Management programs by providing information about the program, outlining program features/value and explaining available services.Records call details and utilize call scripts as needed based on client requirements.Directs member inquiries to appropriate clinical staff.Initiates referrals and manages consults from clinicians for participants registered in Care Management.Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.Contacts physician offices to obtain demographic information or related data as needed.Coordinates and conducts clinic day events. These require travel to and from provider offices and community events in your in their region.Travels to Richmond offices as needed (up to four times monthly)
Qualifications
Health Program Rep I
Requires high school diploma or the equivalent; 6 months experience in a telesales or customer service demonstrating ability to influence customers/ members; or any combination of education/experience, which would provide an equivalent background.Computer/keyboarding proficiency and the ability to follow defined policies and protocols required.Knowledge of company products, services and benefits preferred.Provider Relations experience preferred.Bilingual Spanish preferredSales experience preferred
Health Program Rep II
Requires high school diploma or the equivalent; Minimum of 6 months experience in Level 1 role.Demonstrated proficiency in Level 1 role.Past experience demonstrating analytical thinking.Demonstrated ability to perform in multiple systems, apply a unique set of criteria as required to manage within a multifunctional role.Bilingual Spanish preferredSales experience preferred
Work Hours: Monday - Friday 8:00 5 p.m. EST
Provides initial contact between distinct Quality Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.
Primary duties may include, but are not limited to:
Gathers and records appropriate member information in accordance with policies and procedures via telephone.Encourages members to participate in the Quality Management programs by providing information about the program, outlining program features/value and explaining available services.Records call details and utilize call scripts as needed based on client requirements.Directs member inquiries to appropriate clinical staff.Initiates referrals and manages consults from clinicians for participants registered in Care Management.Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.Contacts physician offices to obtain demographic information or related data as needed.Coordinates and conducts clinic day events. These require travel to and from provider offices and community events in your in their region.Travels to Richmond offices as needed (up to four times monthly)
Qualifications
Health Program Rep I
Requires high school diploma or the equivalent; 6 months experience in a telesales or customer service demonstrating ability to influence customers/ members; or any combination of education/experience, which would provide an equivalent background.Computer/keyboarding proficiency and the ability to follow defined policies and protocols required.Knowledge of company products, services and benefits preferred.Provider Relations experience preferred.Bilingual Spanish preferredSales experience preferred
Health Program Rep II
Requires high school diploma or the equivalent; Minimum of 6 months experience in Level 1 role.Demonstrated proficiency in Level 1 role.Past experience demonstrating analytical thinking.Demonstrated ability to perform in multiple systems, apply a unique set of criteria as required to manage within a multifunctional role.Bilingual Spanish preferredSales experience preferred