Remote Health Enrollment & Outreach Specialist

Renalogic, Inc.; Dallas (TX); A distancia; USD 42.000 - 60.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Stock options

Bonuses

Generous time off

Paid family leave

Health benefits

401k with matching

Descripción de la vacante

Renalogic seeks a results-driven outreach specialist to support member enrollment in clinical programs and deliver education and guidance across multiple channels. You will build knowledge of Renalogic services and engage eligible health plan members with empathy and professionalism.

The role requires at least 1 year of outbound calls or enrollment experience, remote-work eligibility, strong customer service skills, and flexibility to adjust schedules to accommodate member needs.

Formación

• Must have at least 1 year of outbound call and/or enrollment experience.
• Must have at least 1 year of experience selling a program or product to a consumer.
• Remote work experience is required.
• Clinical or Health Care experience and knowledge highly preferred.
• Excellent customer service and interpersonal skills, including conveying empathy when necessary.

Responsabilidades

• Make calls and outreaches and describe the benefits of our program.
• Engage with and enroll eligible health plan members into Renalogic clinical programs, which provide no-cost health education, coaching, support and advocacy to individuals with or at risk of kidney disease.
• Meet call volume and enrollment requirements; proactively assess and revise approach as needed or directed using multiple forms of communication (i.e. phone, text, secure online chat).
• Determine eligibility and perform various enrollment and disenrollment processes for related members to ensure compliance.
• Partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guide lines.
• Obtain missing information and data, such as phone numbers, to complete enrollment questionnaires and document important information.
• Contact provider offices to obtain information such as fax numbers and request medical records.
• Anticipate workflow needs based on established processes, policy, and procedures.
• Appropriately document all outreach efforts in a way that promotes departmental transparency and complies with HIPAA.
• Appropriately document health data which includes identifying potential cost containment opportunities; refer high-risk or changes in status situations to Health Coaches and/or Care Managers.
• As needed, communicate needs, challenges, and provide feedback to peers and Coach.
• As needed, complete claims and pre-certification reviews.

Conocimientos

Outbound calls

Enrollment experience

Remote work

Customer service

Tech savvy

Herramientas

Microsoft Office

Descripción del empleo

Renalogic seeks a results-driven outreach specialist to support member enrollment in clinical programs and deliver education and guidance across multiple channels. You will build knowledge of Renalogic services and engage eligible health plan members with empathy and professionalism.

The role requires at least 1 year of outbound calls or enrollment experience, remote-work eligibility, strong customer service skills, and flexibility to adjust schedules to accommodate member needs.