Health Program Representative

Direct Staffing Inc; Denver (CO); On-site; USD 18,013 - 25,656; Full time

Benefits offered by this job

Access to 3,000+ online training courses

Group-rate insurance options

Weekly pay and service bonus plans

Job summary

A leading staffing agency is seeking a Call Center CSR in Denver, Colorado. The ideal candidate will gather and record member information while encouraging participation in Care Management programs. The role requires a high school diploma and 1-3 years of experience in the healthcare field. Excellent communication skills and flexibility in hours are essential. The pay rate is $15.85 per hour with numerous perks, including training access and group insurance options.

Qualifications

• 1-3 years experience as a Call Center CSR in the healthcare field.
• Knowledge in health insurance and claims processing required.

Responsibilities

• Gathers and records member information over the phone.
• Encourages program participation and explains services.
• Records call details and directs member inquiries to clinical staff.

Skills

Customer service

Communication

Flexibility

Health insurance knowledge

Education

High School diploma or equivalent

Job description

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly.

Job Description

MAJOR JOB DUTIES AND RESPONSIBILITIES:

• Gathers and records appropriate member information in accordance with policies and procedures via telephone.
• Encourages members to participate in the Care Management 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.
• 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.
• Requires flexibility in hours of availability, will work 3-10pm M-Th, 2-9pm Fr and every third Saturday 7-330pm.

EDUCATION/EXPERIENCE:

Requires high school diploma or the equivalent; 6 months experience in a telesales or customer service demonstrating ability to influence customers/ members; or any combination of education/experience, which would provide an equivalent background. Computer/keyboarding proficiency and the ability to follow defined policies and protocols required. Knowledge of company products, services and benefits preferred.

Job Requirements:

• 1 – 3 years experience Call Center CSR in healthcare field.
• Knowledge in health insurance and claims processing.
• High School diploma or equivalent.

Highlights:

$15.85 per hour pay rate

Qualifications

Requires high school diploma or the equivalent

Additional Information

Why Kelly?

As a Kelly Services candidate you will have access to numerous perks, including:

Exposure to a variety of career opportunities as a result of our expansive network of client companies

Career guides, information and tools to help you successfully position yourself throughout every stage of your career

Access to more than 3,000 online training courses through our Kelly Learning Center

Group-rate insurance options available immediately upon hire*

Weekly pay and service bonus plans

IMPORTANT NOTE: This position is recruited by a remote Kelly branch, NOT your local Kelly Services, Inc. office. For immediate consideration contact Deb Evers at 715-446-1755.