Computer Skills, Consulting, Customer Support/Service, Data Collection, Demographics, Health Plan, Hospital, Keyboards, Medical Office, Outbound Call Centers, Scripting (Scripting Languages), Telesales
SH-871 Outbound Call Center Representative
Duties & Responsibilities
Responsible for providing initial contact between distinct Care Management Quality programs and specific identified members. Under direct supervision, handles inbound/outbound enrollment and engagement calls via the WDE dialer system with eligible members to provide information regarding program features.
Primary duties may include but are not limited to:
- Gathers and records appropriate member information in accordance with policies and procedures via telephone.
- Encourages members to participate in the Care Management Quality programs by providing information about the program, outlining program features, value, and explaining available services.
- Records call details and utilizes 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 Quality.
- 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.
Education and Experience
- Requires a HS diploma or the equivalent.
- Minimum of 6 months of experience in a telesales or customer service role, or any combination of education and experience which would provide an equivalent background.
- Computer/keyboard proficiency strongly preferred.
- Knowledge of company products, services, and benefits preferred.