Member coordinator

Prime Therapeutics; Denver (CO); Remote; USD 60,000 - 80,000; Full time

Job summary

Prime Therapeutics seeks a Member Outreach Coordinator to manage communications with members and providers. This remote role involves assessing caller needs, maintaining records, and ensuring professional interactions. Ideal candidates will have a HS Diploma, healthcare experience, and exceptional communication skills to support a dynamic team in the healthcare sector.

Qualifications

• Minimum HS Diploma or GED is required.
• 2+ years of experience in a customer service environment.
• Healthcare experience with knowledge of medical terminology.

Responsibilities

• Manage outbound calls to members and providers.
• Research and provide timely solutions to callers.
• Assist with maintenance of member profiles.

Skills

Communication Skills

Customer Service

Problem-Solving

Education

HS Diploma or GED

Tools

MS Office Suite

Job description

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Member Outreach Coordinator - Remote

Job Description

Responsible for proactively managing all outbound calls to members and providers in order to coordinate timely evaluation of members and if appropriate delivery of member medication. This position requires the highest level of communication competence coupled with the highest professional demeanor. Must have extensive knowledge as it relates to operational policies and procedures. Responsible for assessing the callers needs and providing solutions or triaging it to the appropriate department or individual as needed. Additionally, responsible for all tasks and documentation required to manage members information as it relates to setting the member up for service and/or delivery.

Responsibilities

• Makes timely and proactive outreach to members, and providers as appropriate.

• Actively listens and identifies caller needs.

• Researches and provides timely solutions to caller with a high degree of professionalism.

• Assists with the maintenance of member profiles including but not limited to member demographics and provider information to ensure member records are complete and accurate.

• Assists Customer Care Associates and provides guidance with complex issues.

• Other duties and special projects as assigned by operations manager and department supervisor.

• Setting up member appointments and transferring clinical calls to nursing line.

• Managing Queue maintenance.

• Active participation in training programs.

Education & Experience

• HS Diploma or GED is required

• 2+ years of experience in a customer service environment

• Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Additional Qualifications

• Healthcare experience and must understand medical terminology and diagnostic codes.

• Strong communication skills, both verbal and written.

• Proficient with MS Office Suite, specifically Excel.

• Basic knowledge and experience in mail order or specialty pharmacy.

Physical Demands

• Must be able to remain in a stationary position 50% of the time. Must be able to "move or traverse"

• Must be able to constantly operate a computer and/or other office productivity equipment

• Must be able to hear and constantly communicate information and ideas. Must be able to exchange accurate information

• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (https://www.primetherapeutics.com/benefits) and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.? ?

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Prime Therapeutics' fast-paced and dynamic work environment is ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members.

If you are looking to advance your career within a growing, team-oriented, award-winning company, apply to Prime Therapeutics today and start making a difference in people's lives.

Prime Therapeutics LLC?is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to?race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.? ?

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at 1.866.469.1257 or email [e-mail].