Scheduling Specialist

Job not on LinkedIn

🔥 3 hours ago

🇺🇸 United States – Remote

💵 $41.6k - $57.6k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

🛡️ Insurance

🏥 Healthcare

💰 $135M Series C on 2020-03

Healthcare Insurance • Insurance • Healthcare

Alignment Health is dedicated to providing comprehensive care for Medicare members, emphasizing the needs of seniors, the chronically ill, and those who are frail. With a mission to transform senior healthcare, Alignment Health leverages a tailored care model and advanced technology to deliver high-quality, low-cost healthcare services. Their 24/7 concierge care team collaborates with trusted local providers to ensure that every member receives personalized care, reflecting the company's commitment to treating all members as valued family members.

📋 Description

• Serve as a subject matter expert on eligible clinical programs, including procedures, Health Assessment scheduling, protocols, benefits, and services • Conduct member outreach and receive inbound calls within department goal timeframes, accommodating communication preferences and using interpreter services as needed • Collaborate with Member Services, Clinical Departments, and other partners to facilitate the member experience • Identify members targeted for care gaps and campaigns, analyze program eligibility, and connect members with appropriate programs, providers, or vendors • Document member interactions in real time and complete timely wrap-up in required systems and applications • Enter member demographics and information accurately to support organizational data quality and outcomes reporting • Meet or exceed individual and team goals and submit activity reports as required • Provide excellent customer service and contribute to high member satisfaction • Perform other duties as assigned

🎯 Requirements

• Minimum 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations • High School Diploma or GED • Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others • Effective written and oral communication skills • Ability to establish and maintain constructive relationships with diverse members, management, employees and vendors • Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals • Ability to write routine reports and correspondence • Ability to speak effectively before groups of customers or employees • Ability to perform basic arithmetic with two-digit numbers, tens and hundreds, and American money, weight, volume, and distance measurements • Ability to apply common-sense understanding to detailed but uninvolved instructions and standardized problems • Strong computer skills and typing speed of 40+ words per minute • Effective problem-solving, organizational, and time-management skills; ability to work in a fast-paced environment • Must be available to work full-time and overtime during the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar)

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