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Health Program Representative I - Louisville, KY - Ps12752

Expired Job

Anthem, Inc. Louisville , KY 40202

Posted 2 months ago

Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Health Program Representative I

Responsible for providing initial contact between distinct Care Management programs and specific identified members.

Under general supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.

This is an in house position, assisting with member and/or provider calls.

Primary duties may include, but are not limited to:

  • 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.

  • 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

  • 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.

Qualifications:

  • Requires a HS diploma or the equivalent;

  • 6 months experience in a telesales or customer service environment;

  • Or, any combination of education and experience, which would provide an equivalent background.

  • Computer/keyboarding proficiency and the ability to follow defined policies and protocols required

  • Basic MS Excel and Adobe proficiency required

  • Medical Terminology experience a plus but not required

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.


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Health Program Representative I - Louisville, KY - Ps12752

Expired Job

Anthem, Inc.