Job Description

Location: Health Choice Management Co.
Posted Date: 10/7/2020

Position Purpose: The Contact Center Buddy is a single point of contact for members for all things related to the health plan. A Contact Center Buddy assists members in navigating the health plan and executes activities such as; find quality doctors, schedule appointments, communicate with internal and external partners (case managers, providers, claims etc.), resolve member issues.

  • Provide inbound and outbound communication and develop a relationship with members
  • Assist with wellness campaigns to ensure successful outcomes
  • Educate members on wellness programs to better manage a health condition or disease
  • Conduct member interactions through multiple channels such as telephone, email, mail
  • Complete any necessary paperwork and facilitate the processing of prior authorization requests, case management referrals, bill problems, pharmacy issues etc.
  • Obtain all medical information needed for determination and forward to clinical reviewers when criteria is not met
  • Coordinate authorizations after the initial 7-day authorization has expired
  • Complete outbound member retention calls
  • Additional department support and tasks, as assigned

Education / Experience / Other Requirements

Education:

  • High School Diploma or equivalent GED preferred

Years of Experience:

  • At least one (1) year customer service preferred
  • At least one (1) year in call center environment preferred

Specialized Knowledge:

  • Microsoft Office (Word, Excel)
  • Proficient computer skills, typing, and multi-systems navigation
  • Knowledge of Medicare and Medicaid regulations and guidelines preferred
  • Excellent verbal and written communication skills
  • Active listening skills, highly empathetic, conflict resolution skills
  • Ability to manage multiple tasks and prioritize work to adhere to deadlines and identified time frames

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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