Outreach & Enrollment Specialist

Job not on LinkedIn

🔥 1 minute ago

🤠 Texas – Remote

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💵 $45k - $55k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Logo of Renalogic

Renalogic

51 - 200 employees

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Renalogic is an industry leader, committed to managing risks associated with dialysis and chronic kidney disease (CKD). The company empowers clients with proprietary repricing, risk stratification, and specialty case management services. Renalogic revolutionizes the industry by providing end-to-end solutions for renal risk analytics, management, and dialysis cost containment. Their professional team includes experts in healthcare administration, case management, renal disease, ERISA law, and negotiations. Services offered include cost containment, data analysis for risk stratification, chronic kidney disease management, and member education.

📋 Description

• Develop and utilize in-depth knowledge of Renalogic programs • Make calls and conduct outreach to describe program benefits • Engage and enroll eligible health plan members into kidney disease clinical programs • Meet call volume and enrollment requirements • Use phone, text, and secure online chat for member outreach • Determine eligibility and complete enrollment and disenrollment processes • Partner cross-functionally with operational business units • Obtain missing information and complete enrollment questionnaires • Contact provider offices for fax numbers and medical records • Anticipate workflow needs based on established processes and procedures • Document outreach efforts in compliance with HIPAA • Document health data and identify potential cost containment opportunities • Refer high-risk or status-change situations to Health Coaches and/or Care Managers • Communicate needs, challenges, and feedback to peers and Coaches • Complete claims and pre-certification reviews as needed

🎯 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 • Remote work experience is required • Clinical or Health Care experience and knowledge highly preferred • Excellent customer service and interpersonal skills, including conveying empathy when necessary • Ability to flex your schedule; some evening and weekend hours may be required • Ability and willingness to travel multiple times a year, including overnight stays • Ability to attend and professionally engage in video meetings • Strong technological skills, including Microsoft products • Autonomous self-starter 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 balance competing deadlines • Reliable internet and power with a designated minimally interrupted work area • Must successfully pass a background and reference check • Must be legally authorized to work in the United States without sponsorship

🏖️ 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 • Comprehensive health benefits plan with a portion of premiums covered by the company • Medical, dental, vision, life insurance, short term disability, long term disability, critical illness, accident, hospital indemnity, identity theft, and pet insurance • 401k with up to 4% employer match • Ability to work remotely • Corporate gatherings, conferences, and health fairs

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