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Anthem, Inc Outreach Specialist - Remote - PS31230 in Brooklyn, New York

Outreach Specialist - Remote - PS31230

Location: Connecticut, United States

New

Requisition #: PS31230

Post Date: 4 days ago

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company. 

Outreach Specialist

Location: Remote

Work Hours: Monday through Friday, standard business hours

The Outreach Specialist (Medicare Appeals and Grievance (MCAG) will be responsible for serving as a main point of contact between the Company and current members in a call center environment.

Primary duties may include, but are not limited to:

  • Research and telephonic outreach to initiate activities that promote member access to care through community resources, services and programs

  • Provides timely and accurate resolution of inquiries and issues

  • Supports member access to care through research, identification and outreach related to home visits, processing of reports, and access to community services

  • Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up

  • Provides superior, professional, and courteous service to customers

  • Provides outreach to members

  • Must be able to multitask between different software programs and databases

  • Must maintain timeliness and productivity with a varying caseload

  • Will be responsible for organizing a caseload based on specific time frames

  • Must communicate with a variety of agencies/organizations from home health agencies to vendors

Qualifications:

  • Requires HS Diploma or equivalent;

  • 1+ year of customer service experience with an understanding of the basic principles of managed care;

  • 1+ year of understanding of the concepts of publicly financed health insurance, such as Medicare and Medicaid programs;

  • 1+ year of call center experience;

  • Or, any combination of education and experience that would provide an equivalent background.

  • Comprehension of the various cultural and linguistic needs of the Medicare and Medicaid population.

  • Knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations.

  • Ability to work professionally with the company's associates, community-based organizations, providers and plan members.

  • Experience working in a production and/or caseload environment preferred.

  • Ability to multi-task a must.

  • PC proficiency and ability to toggle between multiple screens and software systems required.

  • Strong verbal communication skills required.

  • Experience working with agencies/organizations - from home health agencies, to vendors, etc. preferred

     

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com An Equal Opportunity Employer/Disability/Veteran

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