Outreach and Enrollment Specialist, Bilingual

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September 8

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Renalogic

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Renalogic is committed to managing risks associated with dialysis and Chronic Kidney Disease (CKD). We empower clients with our proprietary repricing, risk-stratification and specialty case management.

51 - 200 employees

📋 Description

• Make calls and outreaches in English and Spanish and describe the benefits of our program. • Engage with and enroll eligible health plan members into ImpactCare and/or ImpactAdvocate programs, which provide no-cost health education, coaching, support and advocacy to individuals with or at risk of kidney disease. • Meet call volume and enrollment requirements; proactively assess and revise approach as needed or directed using multiple forms of communication (i.e. phone, text, secure online chat). • Determine eligibility and perform various enrollment and disenrollment processes for related members to ensure compliance. • Partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guide lines. • Obtain missing information and data, such as phone numbers, to complete enrollment questionnaires and document important information. • Contact provider offices to obtain information such as fax numbers and request medical records. • Anticipate workflow needs based on established processes, policy, and procedures. • Appropriately document all outreach efforts in a way that promotes departmental transparency and complies with HIPAA. • Appropriately document health data which includes identifying potential cost containment opportunities; refer high-risk or changes in status situations to Health Coaches and/or Care Managers. • As needed, communicate needs, challenges, and provide feedback to peers and Coach. • As needed, complete claims and pre-certification reviews.

🎯 Requirements

• Must have at least 1 year of outbound call and/or enrollment experience. • Must have at least 1 year of experience selling a program or product to a consumer. • Bilingual in English and Spanish is required. • Clinical or Health Care experience and knowledge highly preferred. • Excellent customer service and interpersonal skills, including conveying empathy when necessary. • Ability to work Pacific Standard Time hours to accommodate our prospective members. • Remote work experience is required. • Ability and willingness to travel multiple times a year, which will include overnight stays for corporate gatherings, conferences, and health fairs. • Ability to attend and professionally engage in video meetings with other employees, clients, and members. • Strong technological skills, including Microsoft products. • Autonomous self-starter who is comfortable with ambiguity. • Creative mindset and ability to appropriately challenge the status quo. • Superb written and oral communication skills. • Ability to overcome obstacles with a ‘yes if...’ approach. • Ability to effectively balance competing deadlines without losing focus on the bigger picture. • Reliable internet and power with a designated area to conduct work with minimal interruptions.

🏖️ Benefits

• Market competitive salary and company stock options. • Potential for annual merit increases and bonuses contingent on the company’s fiscal performance. • Generous time off and paid holidays. • Partially paid leave for qualifying family or medical reasons once employment eligibility is met. • A comprehensive health benefits plan with a portion of premiums covered by the company. • Benefits include medical, dental, vision, life insurance, short term disability, long term disability, critical illness, accident, hospital indemnity, identity theft, and pet insurance. • Eligibility to participate begins the first of the month following 60 days of employment. • 401k with up to 4% employer match. • Eligibility to participate begins the first of the month following 6 months of employment.