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20 jobs similar to Customer Service Representative (CSR) - Benefits Outreach

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US

  • Enjoy making outbound calls and reaching out to patients, members, and customers
  • Outreach to patients to schedule appointments for preventative health screenings
  • Assist members and patients with benefits and insurance information

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. Interacting with 1 in 3 Americans every day, they deliver positive healthcare experiences and improving outcomes.

US

  • Conduct patient outreach using telephonic and other communication methods.
  • Accurately document patient communications, outreach activities, and relevant clinical information in the Electronic Health Record (EHR).
  • Educate patients on wellness, preventive care, and recommended screenings.

Lone Star Circle of Care (LSCC) strives for exceptional, equitable patient care that leads to healthier communities. They offer a friendly and fun environment for their employees.

$77,099–$92,519/yr
US

  • Provides telephonic assessments of members’ medical, psychosocial, physical and spiritual needs.
  • Develops, implements, and monitors person centered service plan and ensures continuity of care across all healthcare settings.
  • Educates members on disease processes, preventative health, and quality of life interventions.

MJHS is a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. They foster collaboration, celebrate achievements, and promote fairness for all with comprehensive compensation and benefits.

$21–$21/hr
US

  • Outbound calls, calling members to inform them of their Specialist Management Solutions benefits and act as a care guide on behalf of the customer helping them receive treatment from a network of high-quality surgeons
  • Receive inbound calls from members to educate them on their Specialist Management Solutions benefits and provide guidance with appointment scheduling
  • Assist in the coordination of care across a variety of settings, while maintaining strict confidentiality and the highest level of professionalism

Lantern is a specialty care platform connecting people with the best care when they need it most. They curate a Network of Excellence comprised of the nation’s top specialists for surgery, cancer care, infusions and more, delivering excellent care with significant cost savings to employers and their workforces.

US 3w PTO

  • Answer calls, emails, and contacts, screening, transferring, resolving and disposing of calls while following process/documentation standards.
  • Review, process, schedule, and authorize orders according to department protocols; ensure updates and communication are documented in source systems.
  • Coordinate participants’ appointments, troubleshoot conflicts, communicate with stakeholders, and meet appointment turn-around times as outlined in WelbeHealth's protocol.

WelbeHealth's PACE program helps seniors remain in their homes and communities through medical care and community-based services, providing all-inclusive care. They are driven by core values and a participant-focused approach, fostering an encouraging and loving environment for employees.

US

  • Reaching out to health plan members.
  • Guiding them toward scheduling their care assessments.
  • Giving them the encouragement they need to take that next step.

Carenet Health turns everyday conversations into meaningful connections that help people take charge of their health. They value their team members and show it through a competitive and supportive package.

US

  • Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
  • Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
  • Assist individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups

Pair Team is an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, they deliver whole-person care, and leverage AI and automation to reduce administrative burden. They are deeply collaborative with nurses, social workers, community health workers, and medical professionals.

  • Research, verify and resolve inquiries related to Oregon Health Plan (OHP) or Medicare eligibility.
  • Respond and assist members with Primary Care Provider (PCP) assignments and explain OHP or Medicare benefit coverage.
  • Collaborate with providers, Division of Medical Assistance Programs (DMAP), and members to ensure effective customer service and the resolution of any health plan issues that arise.

CareOregon is a nonprofit, mission-driven health plan focused on providing care to low-income Oregonians. We are an equal opportunity employer that greatly encourages military veterans to apply and considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

US

  • As the first point of contact, you'll assist patients and providers.

Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They aim to set the standard for the industry and help patients live their best lives and is committed to diversity, equity, and inclusion.

US

  • Respond to incoming calls efficiently and effectively.
  • Answer general questions from patients and confirm, schedule, and reschedule appointments.
  • Update patient demographics and collect/verify insurance information.

Vision Innovation Partners aims to protect and restore vision, focusing on great patient outcomes and experiences. They offer opportunities for growth and development, fostering a culture centered on shared values.

US

  • Take inbound calls from patients, providers and members
  • Support members with their insurance needs, questions or concerns
  • Answer inquiries on benefit claims, appeals, and authorizations

Carenet Health pioneers advancements for an experience that touches all points across the healthcare consumer journey. They interact with 1 in 3 Americans every day, delivering positive healthcare experiences and improving outcomes.

US

  • Manage multiple channel interactions professionally and efficiently.
  • Effectively present products/services to providers with integrity, understanding, and accuracy.
  • Focus on provider retention through first call resolution and maintain positive relationships.

Capital Blue Cross promises to go the extra mile for its team and community. Employees consistently vote it one of the “Best Places to Work in PA”, valuing professional/personal growth by investing heavily in training and continuing education.

US

  • Engage and enroll eligible health plan members in supportive care services.
  • Educate members on Tuesday Health’s service offerings and support ongoing engagement.
  • Provide ongoing telephonic customer service to members and their caregivers.

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers and are shaping the future of community-based palliative care nationwide.

2w PTO

  • Handle inbound and outbound calls to prospective clients, creating a friendly and inviting atmosphere to discuss Aetna’s Medicare plans.
  • Clearly explain Medicare options, benefits, and enrollment processes, ensuring clients feel informed and confident in their choices.
  • Take the time to understand each client’s unique needs and adapt your approach to provide tailored solutions.

Ignitist Inc, which is part of the Trucordia Insurance Services Network, provides insurance solutions to help veterans, disabled Americans, and underserved populations get access to the healthcare they need. Ignitist Inc is building a virtuous network with non-profit groups, insurance carriers and providers who share our passion for improving the quality of life for those who need it most.

US

  • Possess strong oral and written communications skills.
  • Exhibit excellent interpersonal skills using tact, patience, and courtesy.
  • Thoroughly and efficiently gather customer information, assess, and fulfill customer needs and educate customers where applicable.

SMI is a leading provider in government payment solutions, developing state-of-the-art solutions and running complex human services operations. With over 53 years in operation as a family-owned business, SMI has grown to over 600 employees across the country, and considers its employees and customers as part of their extended family.

US 4w PTO

  • Conduct outbound telephone outreach to patients and engage patients in pharmacist-led consultations.
  • Serve as a liaison between patients and pharmacies to resolve medication barriers.
  • Collaborate closely with Care Management Pharmacists to support medication adherence initiatives.

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach. They are committed to improving patient outcomes and quality of life by delaying disease progression and shifting care to the home.

US

  • Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc.
  • Creates cases, tasks, and completes assessments in Case Management module for all Hospital and SNF discharges
  • Works as a team with the Case Manager to engage and manage a panel of SNP members

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.

Global

  • Make outbound calls to patient homes to complete short satisfaction surveys about their care experience.
  • Verify each patient’s Primary Care Provider (PCP) information.
  • Document all findings accurately in HHAExchange : Enter survey responses in the patient’s notes section and Update PCP details in the patient’s profile.

Limitlessli specializes in recruiting, hiring, and managing high-caliber remote staff for dynamic and growing healthcare facilities. Leveraging an extensive global network, they connect clients with highly qualified professionals, offering tailored services to meet their clients' unique business needs.

US

  • Support scheduling for Complex Care Navigators
  • Make patient reminder calls
  • Facilitate collaboration with health plan care managers

Tuesday Health is a value-based palliative care provider group dedicated to transforming serious illness and end-of-life care. They deliver goal-centered care focused on alleviating physical symptoms and emotional stress for individuals and their caregivers.

$20–$21/hr
US

  • Make at least 100 outbound, cold calls a day
  • Deliver effective and enthusiastic communication to encourage members to utilize Transcarent's services
  • Provide concierge level service and instill trust in our team

Transcarent is a health and care platform bringing medical, pharmacy, and point solutions together. They empower health consumers with more choice, access to higher-quality care, and lower costs for 21 million members across 1,700 employers and health plans.