Medical Management & Outreach Support Specialist

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🔥 0 minutes ago

🥔 Idaho, North Dakota, +4 more states – Remote

🥔 Idaho – Remote 🌾 North Dakota – Remote 🌲 Oregon – Remote ❄️ Minnesota – Remote ⛷️ Utah – Remote ☕ Washington – Remote

💵 $16 - $21 / hour

⏰ Full Time

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Arkansas Blue Cross and Blue Shield

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1948

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Arkansas Blue Cross and Blue Shield is a health insurance provider licensed to offer health plans in all 75 counties of Arkansas. The company offers a wide range of insurance products including individual and family plans, Medicare and Medigap plans, dental and vision plans, as well as health plans for travelers and employer group plans. They provide members with personalized services such as health management through the Blueprint Portal, where users can manage their health plan, review claims, find healthcare providers, and estimate treatment costs. Arkansas Blue Cross and Blue Shield is an independent licensee of the Blue Cross and Blue Shield Association.

📋 Description

• Serve as the initial point of telephonic contact between the CM team and identified program members for program engagement • Provide non-clinical support to Exchange Medical Management CM teams as a program liaison throughout service offerings • Assist with case referral processes • Assist with complex case member engagement and scheduling • Attend and actively participate in required meetings • Collaborate with external community-based organizations to facilitate and coordinate care under the direction of an RN Case Manager • Collaborate with social workers and/or care managers to develop action plans • Facilitate communication among patients, families, colleagues, and community-based organizations • Gather clinical information and determine the appropriate area to refer or assign cases • Maintain and update tracking databases • Prepare reports and document clear, concise notes on actions • Promote member engagement and enrollment in case management to help achieve health goals • Provide network provider or general program information when requested • Identify social determinants of health affecting patients' health and well-being • Perform other duties as assigned

🎯 Requirements

• High school diploma or equivalent • Minimum one (1) year office and/or customer support experience interacting with customers via telephone, e-mail, and/or in-person • Previous experience in a role requiring an understanding of managed care or Medicaid/Medicare preferred • Interpersonal communication • Oral and written communication • Problem-solving • Facilitation skills • Attention to detail • Microsoft Office • Medical terminology • Work from home within Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota

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