Health Program Representative I

Role Overview

• Gathers and records appropriate member information in accordance with policies and procedures via telephone
• Encourages members to participate in the Care Management programs by providing information about the program
• Records call details and utilizes call scripts as needed
• 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
• Expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues
• Performs other duties as assigned

Requirements

• Requires HS diploma or the equivalent
• Minimum of 6 months experience in a telesales or customer service
• Any combination of education and experience which would provide an equivalent background
• Computer/keyboarding proficiency strongly preferred
• Knowledge of company products, services and benefits preferred

Benefits

• Affordable Health Insurance, Dental, Vision and Basic Life
• 401K match
• Paid Time Off
• Holiday Pay
• Annual incentive bonus and annual increases plan based on performance
• Ability to obtain your Associate’s or Bachelor’s degree or further your education with tuition reimbursement
• Career path with opportunity for growth