Randstad Healthcare Customer Service Specialist in Louisville, Kentucky

Healthcare Customer Service Specialist

job details:

  • location:Louisville, KY

  • salary:$20.37 per hour

  • date posted:Friday, February 8, 2019

  • experience:1 Years

  • job type:Contract

  • industry:Health Care and Social Assistance

  • reference:451802

job description

Healthcare Customer Service Specialist

job summary:

Description:

JOB SUMMARY

  • Conducts telephonic outreach to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements.

  • Provides education to members regarding the care gaps they have. Assists in scheduling doctor appointments via three-way phone calls and assists in scheduling transportation services, if needed.

  • Maintains confidentiality of business and protected health information.

ESSENTIAL FUNCTIONS

The following is not intended to be an exhaustive list of all duties required of this position ---- Key Duties and Responsibilities

  • Conducts telephonic outreach to members to support Quality Improvement. regulatory and contractual requirements.

  • Educates the member and their family about preventive health screenings while identifying barriers to care.

  • Schedules doctor appointments for all household members with care gaps with the Primary Care Physician (PCP) and/or Specialist to access needed preventive care services and close gaps in care via a three-way phone call.

  • Informs providers about the care gap(s) member has and why they are seeing the provider.

  • Arranges transportation for members as needed.

  • Documents all actions taken regarding contact related to member.

  • Interacts with other departments including Customer Service to resolve member issues.

  • Refers to CM/DM as appropriate.

  • Completes special assignments and projects instrumental to the function of the department.

  • Performs other duties as assigned.

Additional Position Responsibilities---- ---- MINIMUM QUALIFICATIONS

Education ---- State the minimum required for the job ---- Education Level Education Details Required/Preferred

  • A High School or GED Required---An Associate's Degree in a related field Preferred---A Bachelor's Degree in a related field Preferred

Work Experience ---- State the minimum required for the job ---- Experience Level Experience Details Required/Preferred

  • 1+ year of experience in member. provider and customer service or call center environment Required

  • Other Health coaching experience Preferred---Other Experience in managed care Preferred

Licenses and Certifications ---- List professional licenses and certifications associated with this job ---- Licenses/Certifications Other Licenses/Certifications Required/Preferred

Skills - --- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Beginner

  • Demonstrated written communication skills Intermediate

  • Demonstrated interpersonal/verbal communication skills Intermediate

  • Ability to effectively present information and respond to questions from peers and management Intermediate

  • Other Data entry skills Intermediate

  • Other Appreciation of cultural diversity and sensitivity towards targeted populations Intermediate

Technology ---- List technical skills associated with the job ---- Technology Other Technology Proficiency Required/Preferred

  • Microsoft Word Beginner Required---Microsoft Excel Beginner Required ---- Languages ---- List all that apply

Languages Other Languages Required/Preferred ---- Spanish Preferred

location: Louisville, Kentucky

job type: Contract

work hours: 8 to 5

education: High School

experience: 1 Years

responsibilities:

ESSENTIAL FUNCTIONS

The following is not intended to be an exhaustive list of all duties required of this position ---- Key Duties and Responsibilities

  • Conducts telephonic outreach to members to support Quality Improvement. regulatory and contractual requirements.

  • Educates the member and their family about preventive health screenings while identifying barriers to care.

  • Schedules doctor appointments for all household members with care gaps with the Primary Care Physician (PCP) and/or Specialist to access needed preventive care services and close gaps in care via a three-way phone call.

  • Informs providers about the care gap(s) member has and why they are seeing the provider.

  • Arranges transportation for members as needed.

  • Documents all actions taken regarding contact related to member.

  • Interacts with other departments including Customer Service to resolve member issues.

  • Refers to CM/DM as appropriate.

  • Completes special assignments and projects instrumental to the function of the department.

  • Performs other duties as assigned.

qualifications:

Additional Position Responsibilities---- ---- MINIMUM QUALIFICATIONS

Education ---- State the minimum required for the job ---- Education Level Education Details Required/Preferred

  • A High School or GED Required---An Associate's Degree in a related field Preferred---A Bachelor's Degree in a related field Preferred

Work Experience ---- State the minimum required for the job ---- Experience Level Experience Details Required/Preferred

  • 1+ year of experience in member. provider and customer service or call center environment Required

  • Other Health coaching experience Preferred---Other Experience in managed care Preferred

Licenses and Certifications ---- List professional licenses and certifications associated with this job ---- Licenses/Certifications Other Licenses/Certifications Required/Preferred

Skills - --- State the minimum required for the job ---- Skill Sets Other Skills Proficiency

  • Knowledge of medical terminology and/or experience with CPT and ICD-9 coding Beginner

  • Demonstrated written communication skills Intermediate

  • Demonstrated interpersonal/verbal communication skills Intermediate

  • Ability to effectively present information and respond to questions from peers and management Intermediate

  • Other Data entry skills Intermediate

  • Other Appreciation of cultural diversity and sensitivity towards targeted populations Intermediate

skills: Customer Relations

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.