Location: Ideal candidates will live within 50 miles of one of our PulsePoint office locations.
The Health Program Representative I is responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.
How you will make an impact:
Gathers and records appropriate member information in accordance with policies and procedures via telephone.
Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.
Records call details and utilize call scripts as needed based on client requirements.
Directs member inquiries to appropriate clinical staff.
Initiates referrals and manages consults from clinicians for participants registered in Care Management.
Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.
Contacts physician offices to obtain demographic information or related data as needed.
Minimum Requirements:
Requires HS diploma or the equivalent and a minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.
