Member outreach representative

Pyramid Consulting, Inc; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

A leading company in the Healthcare Industry is seeking a Member Outreach Representative for a remote contract position. This role involves making outbound calls to Medicare members, ensuring they complete necessary health assessments, and providing support. The ideal candidate will have experience in customer service and outreach within the health sector. This entry-level position offers opportunities for advancement after one year of full-time employment.

Benefits

health insurance (medical, dental, vision)

401(k)

paid sick leave

Qualifications

• At least 18 months of experience with a health plan or in a health-related industry.
• Must have verifiable education.

Responsibilities

• Make outbound calls daily to remind members about Care Gaps.
• Assign at least 30 members daily for outreach.
• Maintain an audit score of 90% or higher.

Skills

Medicare customer service

outbound/member outreach

call center experience

Education

High School diploma or GED

Tools

Excel

Outlook

Job description

Pyramid Consulting, Inc provided pay range

This range is provided by Pyramid Consulting, Inc. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$21.50/hr - $22.00/hr

Job Opportunity: Member Outreach Representative

Immediate need for a talented Member Outreach Representative. This is a 5+ months contract to hire opportunity with long-term potential, located in US (Remote {PST}). Please review the job description below and contact me ASAP if interested.

Job ID: 25-69779

Pay Range: $21.50 - $22/hour. Employee benefits include health insurance (medical, dental, vision), 401(k), and paid sick leave (depending on work location).

Key Responsibilities:

• Work hours: 8 am – 5 pm PST, no overtime. Candidates must be able to work PST hours (no CA candidates due to additional requirements, pay, schedule, etc.)
• Make outbound calls daily to remind members about Care Gaps, such as preventative visits, and to complete the Health Risk Assessment if due.
• Outreach targets Medicare members, primarily those over 65 or with Medicare due to health issues.
• Supportive team culture with daily chats, monthly online meetings, and ongoing feedback.
• Entry-level position with opportunities for advancement after 1 year as a full-time employee.
• Assign at least 30 members daily for outreach. Make one call attempt per day to the listed number; if invalid, attempt to contact the PCP for a valid number.
• If contact is made, review Care Gaps, discuss Health Risk Assessment, assist with scheduling, and address questions.
• Make up to four additional calls at different times if initially unsuccessful.
• Target: 30 new members daily, 125 weekly, 600 monthly.
• Maintain an audit score of 90% or higher.
• Meet a 10-day Turnaround Time (TAT).

Key Requirements and Technology Experience:

• Relevant skills: Medicare customer service, outbound/member outreach, call center experience.
• High School diploma or GED (must have verifiable education).
• At least 18 months of experience with a health plan or in a health-related industry.
• Proficiency in Excel and Outlook.
• Knowledge of medical terminology.

Our client is a leading Healthcare Industry. We are currently interviewing for this and similar contract positions. Interested candidates should apply online for immediate consideration.

Pyramid Consulting, Inc. is an equal opportunity employer, prohibiting discrimination and harassment based on race, color, religion, age, sex, national origin, disability, genetics, veteran status, sexual orientation, gender identity, or any other protected characteristic under law.

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