Contacts Health Plan members via provided lists to secure appointments with field providers to deliver complete health risk assessments
Must follow specific talking points and protocols associated with member outreach calls
Secures visits via scheduling software efficiently, utilizing all available provider capacity when possible
Demonstrates excellent customer service skills at all times
Utilizes exceptional communication and social skills to clearly explain the importance of agreeing to complete the annual assessment
Utilizes up to six (6) different software applications simultaneously, often while the member is on the line
Conduct follow up calls to members one business day prior to scheduled date to ensure the visit success and to minimize provider frustration, member abrasion as well as to meet budgeted call volumes and completed appointments
Must confirm and verify all demographic and contact information as well as follow HIPAA guidelines on every call when applicable
Verify member’s insurance active status and accurately enter the insurance information at the time of patient registration
Escalate any problems or concerns associated with field providers to the manager
Meet set performance standards and departmental goals and metrics

High School graduate or equivalent
Strong computer skills with proficiencies in Microsoft Office, Microsoft Access and various internet-based applications
Self-motivated and able to work independently
Demonstrable success in quickly building telephonic relationships with prospective customers
1+ year of call center experience, or relevant tele-sales experience (preferred)
Basic knowledge of medical terminology (preferred)

Outreach Specialist – Bilingual Spanish

Key skills