Call Center Agent-Healthcare (CSR)
ATX Learning · Slaton, TX
Job description
Call Center Agent (CSR) Healthcare Job Location: Fully Remote (California Residents Only) Position Type: Regular Full-Time, Direct Placement with Benefits Overview Our client is one of the largest ophthalmology providers in the U.S., with over ninety centers across six states including California, Oregon, Arizona, Texas, and Utah. An innovative leader in ophthalmology, they deliver an exceptional patient experience through advanced technology and a team of highly skilled, experienced surgeons-trusted by more than 3,000 referring eye doctors nationwide. We are seeking multiple call center agents to join the team! This position is responsible for ensuring the consistent delivery of a great patient experience that exceeds the expectations of our callers and our clinic locations. This role will ensure company success by raising conversion rates from the initial phone call to consultation, as well as the handling of all other call types with empathy and a patient-centric focus. You'll support patients across the organization's many locations nationwide, helping with everything from scheduling and rescheduling to prescription questions, post-procedure guidance, and connecting patients to the right level of care quickly and confidently. This is an on-site position with structured training to set you up for success from day one. Responsibilities • Answer telephone promptly in a polite and professional manner and exceed patient satisfaction. • Able to answer questions succinctly and professionally and evaluate when to escalate. • Ensure patients are booked for consultation during their first call. • Presents in a professional and educated manner to all customers, patients, and Dr.'s that call in. • Place outbound calls timely and with enthusiasm to assist • Research and resolve issues to ensure patient retention and satisfaction. • Use sound judgment and empathy in handling calls, especially with upset patients. • Schedule appointments correctly-servicing multiple centers. • Maintains knowledge of company products and customer service processes • Ability to handle a call center environment: work quickly and multitask. Qualifications • 2+ years of experience in a high-volume call center. • Ophthalmology experience would be helpful but not required. • Bilingual (English/Spanish) a plus. Why You'll Love It Here • Comprehensive, competitive benefits package including medical, dental, vision, vacation, PTO, sick leave, paid holidays, and 401k • Low turnover with long-tenured leaders grounded in developing their teams • Real opportunities for internal growth and advancement INDH
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Case Management Coordinator Telephonic & Community
CVS Health · Slaton, TX
Case Management Coordinator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by aiding with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Key Responsibilities • Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. • Coordinates and implements assigned care plan activities and monitors care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. • Identifies and escalates quality of care issues through established channels. • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. • Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. • Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. • Helps member actively and knowledgably participate with their provider in healthcare decision-making. • Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. • Remote Work Expectations • Candidates must have a dedicated workspace free of interruptions • Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted. • Interacts with members/clients telephonically or in person. May be required to meet with members/clients in their homes, worksites, or physician's office to provide ongoing case management services. • Colleague may be required to travel up to 25-50% of the time based on member/customer-specific needs. • Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise Required Qualifications • Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required (nursing, psychology, social work, marriage and family therapy, counseling). • Must have computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word. 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This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.
Customer Service Representative - Remote
Sharecare · Slaton, TX
Job Description: Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform - including benefits navigation, care management, home care resources, health information management, and more - Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com . Job Summary: The Customer Service Representative (CSR) answers inbound calls from members and providers, inputs data, and provides a high level of customer service always extending courtesy and professionalism. The CSR handles inbound customer service inquiries and problems via the telephone and email while effectively recording communications accurately and consistently. Calls are predominantly "routine", but may require deviation from standard screens, scripts and procedures. CSRs use a computerized system for tracking calls, information gathering, and/or troubleshooting and may assess needs, explain programs and suggest/promote alternative products or services.? Essential Job Functions: • Identify, evaluate and prioritize caller?needs, questions and concerns.? • Formulate plans of resolution and respond?appropriately and efficiently.? • Maintain and restore customer satisfaction and partner with other teams as needed.? • Perform problem analysis, problem determination and recommended resolutions to the?callers in accordance with standard protocol.? • Proactively educate caller on program benefits.? • Meet or exceed established call center metrics, attendance standards and quality levels.? • Use computer tools to accurately process and document information.? • Develop rapport with callers and appropriately adjust communication style.?? • Provide accurate information about?Sharecare programs and services.? • Escalate issues internally and follow up on escalated issues.? Qualifications: • High School Diploma? • Prior experience in a customer?service related?field preferred • Great communication skills? • Must be able to multi-task? • Must have medical records experience and knowledge of key elements of a valid ROI request • Understanding of HIPAA regulations preferred • General working knowledge of Microsoft Word &?Outlook? • Computer keyboard proficiency?and internet navigation skills?required? • Have the ability to?work effectively with others in a team?environment?? • Ability to thrive in a fast-growing always changing?environment • Bilingual in Spanish and English preferred Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.