About Sagility
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.
The company optimizes the entire member / patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.
Sagility has more than 25,000 employees across 5 countries.
Job Title: Enrollment Specialist - Care Coordinator
Job Description
The Sagility Team is currently hiring a talented Care Coordinator.
In this non-clinical role, you will deliver exceptional quality and service to all patients and other customers through a constant pursuit of excellence and respect for every individual.
Education
High School Diploma or equivalent required.
Experience
- Minimum 1-year experience working in an office setting as a receptionist, telephone customer service representative, or telemarketing representative required.
- Direct experience in a telehealth support function preferred.
- Good communication skills via telephone with members, customers, peers, and superiors.
- Experience working in a medical setting preferred.
Mandatory Skills
- Excellent interpersonal skills.
- Ability to understand and interpret policy provisions.
- Ability to learn and demonstrate product knowledge.
- Accurately enter information into a computer while talking with a customer.
- Problem-solving skills.
- Proficient computer skills.
- Demonstrate empathy.
- Strong member advocate: willing to go above and beyond normal responsibilities to provide the best service possible.
- Ability to assist members in navigating the healthcare system and community-based resources.
- Culturally sensitive and competent for assigned membership.
- Strong organizational skills; ability to multi-task and be nimble.
- Ability to work remotely.
- Ability to determine when to escalate issues appropriately and in a timely manner.
Roles & Responsibilities
- Work in multiple products conducting outbound call projects to members for enrollment purposes, customer satisfaction surveys, and other outbound projects.
- May work in multiple products receiving inbound calls from members, physicians, clients, and others.
- Process requests per Sagility LLC policies and guidelines.
- Route messages to appropriate nurses and make pertinent notes in patient charts when necessary.
- Ensure notes are clear and timely.
- Use applications according to policies and guidelines to ensure quality delivery of services.
- Maintain effective working relationships with callers, physician offices, clients, team members, supervisors, and internal customers.
- Maintain confidentiality of all patients according to HIPAA standards.
- Collect and validate patient demographic information including insurance type and contact information.
- Obtain pre-certification or authorization numbers if necessary for referral.
- Maintain regular, reliable attendance and timeliness.
- Perform other duties as assigned.
- Ensure reliable high-speed internet connection.
The above statements are intended to indicate the general nature and level of work performed by employees within this classification. They are not exhaustive of all responsibilities, duties, and skills required. Employees may perform other duties as assigned.
Salary
$19.00 hourly
Benefits
- Medical, Dental, Vision
- Life Insurance
- Short-Term and Long-Term Disability
- Flexible Spending Account
- Life Assistance Program
- 401K with employer contribution
- PTO and Sick Time
- Tuition Reimbursement
- Daily Pay
Join our team, we look forward to talking with you! An Equal Opportunity Employer / Vet / Disability.
Location
Work@Home USA, United States of America