Enrollment Specialist - Care Coordinator (Personal Services)
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.
Job title:
Job Description:
The Sagility Team is currently hiring a talented Care Coordinator. In this non-clinical role, you will deliver exceptional quality and service to all patients and other customers through a constant pursuit of excellence and respect for every individual.
Education:
High School Diploma or equivalent required
Experience:
- Minimum 1-year experience working in an office setting as a receptionist, telephone customer service representative, or telemarketing representative required. Direct experience in a telehealth support function preferred.
- Good communication skills via telephone with members, customers, peers and superiors
- Experience working in a medical setting preferred.
Mandatory Skills:
- Excellent interpersonal skills
- Ability to understand and interpret policy provisions.
- Ability to learn and demonstrate product knowledge
- Accurately enter information into a computer while talking with a customer
- Problem solving skills
- Proficient computer skills
- Demonstrate empathy
- Strong member advocate: willing to go above and beyond normal responsibilities to provide the best service possible
- Ability to assist members in navigating the healthcare system and community-based resources
- Culturally sensitive and competent for assigned membership
- Strong organizational skills; ability to multi-task and be nimble
- Ability to work remotely
- Ability to determine when to escalate issues appropriately and in a timely manner
Roles & Responsibilities:
- Work in multiple products conducting outbound call projects to members for enrollment purposes, customer satisfaction surveys, and other outbound projects
- May work in multiple products receiving inbound calls from members, physicians, clients and others to
- Process requests per Sagility LLC policies and guidelines
- Routes messages to appropriate nurses and makes pertinent notes in patient charts when necessary.
- Ensure that notes are clear and timely
- Use applications according to policies and guidelines to ensure quality delivery of services.
- Maintains a mutually effective working relationship with callers, physician offices, clients, team members, supervisors, and internal customers
- Maintains confidentiality of all patients according to HIPAA standards.
- Collects and validates patient demographic information including insurance type and patient contact information
- Obtains pre-certification or authorization numbers if necessary for referral
- Regular, reliable attendance and timeliness
- Other duties as assigned
- Reliable high speed internet
The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job. Employees in this job may perform other duties as assigned.
Salary: $19.00 hourly
Sagility Offers Competitive Benefits Including:
- Medical
- Dental
- Vision
- Life Insurance
- Short-Term and Long-Term Disability
- Flexible Spending Account
- Life Assistance Program
- 401K with employer contribution
- PTO and Sick Time
- Tuition Reimbursement
- Daily Pay
Join our team, we look forward to talking with you!
An Equal Opportunity Employer/Vet/Disability
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