Healthcare Outreach Specialist - Remote! (Bilingual Preferred)

Role Summary :

Outreach Specialists build relationships with health plan members and patients that are eager to learn more about Centauri's services.

Outreach Specialists interpret and clarify information such as eligibility requirements and application details, and also determine what additional support may be required.

Outreach Specialists will initiate procedures to refer patient / member to other agencies for assistance as appropriate.

Outreach Specialists must be compassionate and understanding while providing patients and health plan members with the highest level of customer service.

Work hours will be Monday to Friday, am to 6 : pm.

Role Responsibilities :

• Makes outbound and receives inbound calls providing detailed information about eligibility services and conducts eligibility screening
• Interviews patients / members via phone to gather personal / sensitive information in order to determine eligibility for various programs
• Interprets and explains information such as eligibility requirements and application details
• Clarifies eligibility data with patient or member
• Compiles, records, and evaluates personal and financial data in order to verify completeness and accuracy
• Utilizes the computer system to accurately complete the screening for eligibility and disposition the account as required
• Initiates procedures to refer patient / member to other agencies for assistance as appropriate
• Makes outbound and receives inbound calls providing detailed information about eligibility services and conducts eligibility screening
• Interviews patients / members via phone to gather personal / sensitive information in order to determine eligibility for various programs
• Interprets and explains information such as eligibility requirements and application details
• Clarifies eligibility data with patient or member
• Compiles, records, and evaluates personal and financial data in order to verify completeness and accuracy
• Utilizes the computer system to accurately complete the screening for eligibility and disposition the account as required
• Monitors actions to ensure goals are met
• Understand and agree to role-specific information security access and responsibilities
• Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
• Read, understand and agree to security policies and complete all annual security and compliance training

Role Requirements :

• Bilingual preferred (Spanish and English); fully fluent reading, writing, speaking
• 1+ years in a Call Center environment, inbound and outbound
• 1+ years experience working with call queues
• 1+ years Customer Service experience
• Empathy and desire to help others
• Strong decision making skills
• Ability to provide a private and quiet work environment, and work independently
• Strong attention to detail and follow-through skills
• Experience in healthcare or government benefits or agencies a plus
• Highly proficient in MS Office (Outlook, Word, Excel, Teams)
• Strong communication and customer service skills
• Ability to track / monitor / retrieve information on calls
6 days ago