Health Program Representative I
Elevance Health

Job Info

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Health Program Representative I

Location: Ideal candidates will live within 50 miles of one of our PulsePoint office locations.

The Health Program Representative I is responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.

How you will make an impact:

• Gathers and records appropriate member information in accordance with policies and procedures via telephone.
• Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.
• Records call details and utilize call scripts as needed based on client requirements.
• Directs member inquiries to appropriate clinical staff.
• Initiates referrals and manages consults from clinicians for participants registered in Care Management.
• Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.
• Contacts physician offices to obtain demographic information or related data as needed.

Minimum Requirements:

• Requires HS diploma or the equivalent and a minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

• Computer/keyboarding proficiency strongly preferred.
• Knowledge of company products, services and benefits preferred.

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