Scheduling Specialist

🕒 3 days ago

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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 in eligible clinical programs, including procedures, scheduling Health Assessments, protocols, benefits, and services • Conduct member outreach and receive inbound calls within department goal timeframes • Manage member communication preferences, including time of day, channel, and language; use 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 and connect them to appropriate programs or services • Analyze available programs, determine eligibility, and connect members with appropriate providers or vendors • Document member interactions in real time and complete timely wrap-up in required systems and applications • Accurately enter member demographics and information 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 • Ability to 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 customer or employee groups • Ability to perform basic arithmetic with two-digit numbers and multiply/divide by tens and hundreds • Strong computer skills • 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) • Preferred: Experience in a clinical setting managing provider schedules • Preferred: Experience helping members navigate Medicare Advantage medical, prescription drug, and supplemental benefits • Preferred: Call center experience in welcome/onboarding, appointment scheduling, retention, sales, or healthcare/health-plan programs • Preferred: Inbound call center experience involving escalation or resolution • Preferred: Bilingual English/Spanish, Vietnamese, Mandarin Chinese, or Korean • No licensure required

🏖️ Benefits

• Pay range of $41,600.00 - $57,600.00 • Overtime availability during the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar) • Reasonable accommodations for individuals with disabilities • Equal Opportunity/Affirmative Action employment