Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically. Member facing. Making outbound calls to members to complete a Health Needs Assessment. You will also receive inbound calls from members to complete their Health Needs Assessment. Average 50-70 outbound calls per day. High energy, high volume Call Center Experience, Self-starter, able to multi task, reliable, communication skills, health care experience, multi tasking with dual monitors Call Volume and Productivity Call audit metrics monthly Audits on HNAs monthly Focused on engagement of employees; Overall job satisfaction of our employees; Focused on development; (NOTE: ended up creating roles for those who have excelled in the role to be able to keep them on the team) Must haves: high volume Phone Customer svc experience in health care, Computer knowledge including Excel, Word and Outlook, 2-3 years managed care, experience with Medicare/Medicaid (will be working with Medicaid) Exp. directly working HC providers/patients Must haves: high volume Phone Customer svc experience in health care, Computer knowledge including Excel, Word and Outlook, 2-3 years managed care, experience with Medicare/Medicaid (will be working with Medicaid) Exp. directly working HC providers/patients Nice to haves: Disqualifiers: Minimum call center experience Candidate who have only worked with Providers – front office setting (example: doctor office setting) NEEDS additional insurance experience Most previous job must reflect needs for this position Please state if position was contract (job hopping) Performance indicators: Call Volume 50-70 outbound calls per day Audit (Call Audit) – 90% or higher HNA Audit score – 90% or higher Best vs. average: see below top must-have skills 1Phone Customer svc experience HIGH VOLUME / /communication skills / documentation and compliance 2Complete knowledge including MS Office Excel, Word and Outlook/ technical & remote proficiency 3. 2-3 years managed care or physician’s office experience/organizational and time management skills/problem solving and adaptability
salary: $21 - $22 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
Making outbound calls to members to complete a Health Needs Assessment. You will also receive inbound calls from members to complete their Health Needs Assessment. Average 50-70 outbound calls per day.
State Contract – Metric is 35% Screening Rate
High energy, high volume Call Center Experience, Self-starter, able to multi task, reliable, communication skills, health care experience, multi tasking with dual monitors
Skills
care management communication skillsdocumentation
QualificationsYears of experience: 2 yearsExperience level: Experienced
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Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
