SH-691 Outbound Call Center Representative IN
Duties/Responsibilities:
- Responsible for providing initial contact between distinct Care Management/Quality programs and specific identified members.
- Under direct supervision handles inbound/outbound enrollment and engagement calls via the WDE dialer system 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 Care Management/Quality 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/Quality.
- 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.
Education and Experience:
- Requires a HS diploma or the equivalent and a minimum of 6 months of experience in a telesales or customer service; or 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.