Job Description

Contract: Pennington , New Jersey, US

Salary: $20.00 Per Hour

Job Code: 348332

End Date: 2024-05-16

Days Left: 14 days, 23 hours left

Roles & Responsibilities:

Receive incoming calls from members related to quality outreach initiatives.
Make outgoing calls to educate members on closing care gaps and provide health education materials.
Maintain accurate member records from outreaches and address member issues.
Act as a liaison with providers, members, and community resources to assist with scheduling appointments and transfers.
Ensure clear and complete information is provided to members in accordance with company guidelines.
Refer members to Clinical Quality nurses as needed.
Education Qualification: - Associates degree in a healthcare field or 3 years of equivalent work experience.
2 years of work experience in case management, community health, Medicaid, or health insurance.
Minimum of 2 years of experience working with members to close care gaps.
Required Skills:
Knowledge of the Managed Care or Health Insurance Industry.
Knowledge of medical terminology.
Knowledge of PC's and windows-based software applications.
Prefer knowledge of Medicaid and Medicare regulations.
Excellent verbal and written communication skills.

Recruiter

Phone

Divyani Balone

divyani.balone@collabera.com

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