Member Engagement Service Coordinator

Job not on LinkedIn

🕒 July 21

🤠 Texas – Remote

infoinfo

💵 $17 - $28 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Act as a liaison between the Member Engagement team, health plan and affiliates, health plan members, and physician practices • Make outbound calls to members and medical facilities • Schedule PCP appointments and coordinate medical appointments between members and physicians’ offices • Interact with members, clinicians, doctor’s offices, and health plan employees • Track appointment and member data and maintain accurate record notes • Assist with PCP connections, relay test results, mammogram and vaccination scheduling, mail-order prescription program enrollment, and annual wellness visit coordination • Meet department quality, customer service, productivity, call-volume, appointment, attendance, and shift goals • Utilize regulated and internal scripts and processes • Receive and enable warm transfers from clinicians, doctors’ offices, pharmacies, and call center representatives • Conduct manual outbound calls, handle inbound calls, and receive telephony-system calls, potentially managing 300+ calls daily • Act as a subject matter expert for peer side-by-side coaching and assist with employee training • Provide feedback on areas for improvement • Handle additional tasks requested by Management • Report to a Member Engagement Customer Service Manager • Protect the security and privacy of accessed protected health information

🎯 Requirements

• A High School Diploma or two years of relevant work experience preferred • Previous appointment scheduling and/or call center experience (inbound and/or outbound) required in a multi-tasking, high call volume environment • Experience working with call center technology systems (softphone, QA, WFM, CMRs, and EMRs) highly preferred • Advanced understanding of call center or tele-sales environment preferred • Data-driven troubleshooting experience preferred • Basic understanding of relational database functionality preferred • Experienced skills in MS Office, Excel, and particularly G-Suites • Fluency in speaking, reading, and writing English • Bilingual English/Spanish is a plus • Proven ability to prioritize and multi-task in order to meet productivity standards • Ability to work a set schedule as assigned by Management and abide by attendance guidelines • Strong critical thinking, analytical, and data entry skills • Verified and reliable internet service with download speed greater than 200 Mbps, upload speed greater than 20 Mbps, and latency/ping less than 60 ms • Applicants must provide their own workspace furniture and ensure a quiet workspace • Ability to work overtime and on-call as requested per Signify • Must be responsible for the security and privacy of protected health information

🏖️ Benefits

• The company will provide equipment (keyboard, monitor, computer, headset, etc.) • Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources based on eligibility

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