*Location: Must live in the State of Oregon
*Work Schedule: Must have flexibility to work a shift between the hours of 7:00 AM to 7:00 PM Pacific Time, Monday through Friday.
Job Summary:
Provide telephonic care coordination outreach to support preventative health activities, including social needs, to reduce barriers to access and care while optimizing health outcomes.
Responsibilities:
- Responsible for inbound and outbound calls
- Community based organization and provider outreach, enrollment, and credentialing
- Ability to form and maintain provider relations
- Ensures the responsible delivery of comprehensive care coordination services to enrollees
- Conducts general assessments for appropriate referrals to Personal Health Consultants, primary health plans, and other resources
- Ability to provide critical resources to members and providers in real-time
- Able to communicate effectively with members, providers, and healthcare professionals, and able to communicate via an interpreter when necessary
- Maintain metrics for telephonic outreach and engagement
- Participates in team case reviews for collaborative assessment and coordination planning to ensure quality care as needed
- Assists the Lead, Supervisor, and/or Manager in ensuring the cost-effective and efficient achievement of contract requirements, including service delivery, by reporting accurate and timely work hours incurred during position duties
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules
The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.
Required Qualifications/Experience:
- A minimum of a High School Diploma OR GED equivalent
- 1+ years of telephonic outreach or call center experience
- 2+ years of experience working in a healthcare environment
- 2+ years of experience in care coordination
- Knowledge of medical terminology
Preferred Qualifications/Experience:
- Medical Assistant or a college degree in a health-related field
- Ability to efficiently work telephonically while completing system inputs
- Bilingual
- Knowledge of customer service principles
- Strong written and verbal communication skills
- Strong computer skills (e.g., care management applications, Internet/Web, Microsoft Office [Word, Excel])
- Strong prioritization and organizational skills
- Ability to receive verbal and written feedback in a professional manner and implement performance and productivity improvements as needed
- Ability to interpret real-time and historical information to inform and assist members concurrently
- Knowledge of regulatory and accreditation standards
- Knowledge of principles, ethics, and precepts of care management service delivery
- Knowledge and familiarity with public sector health coverage systems (e.g., Medicare / Medicaid or managed care plans)
Attention Applicants: Please be advised that proper email communication will only be sent from email addresses ending in @astyra.com. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. It is important to communicate within our guidelines and proper channels to expedite possible interview considerations.
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