Health Program Representative

MAJOR JOB DUTIES AND RESPONSIBILITIES:

• 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.
• Requires flexibility in hours of availability, will work 3-10pm M-Th, 2-9pm Fr and every third Saturday 7-330pm.

EDUCATION/EXPERIENCE:

Requires high school diploma or the equivalent; 6 months experience in a telesales or customer service demonstrating ability to influence customers/ members; or any combination of education/experience, which would provide an equivalent background. Computer/keyboarding proficiency and the ability to follow defined policies and protocols required. Knowledge of company products, services and benefits preferred.

Job Requirements:

• 1 – 3 years experience Call Center CSR in healthcare field.
• Knowledge in health insurance and claims processing.
• High School diploma or equivalent.

Highlights:

$15.85 per hour pay rate

Requires high school diploma or the equivalent

Why Kelly?

As a Kelly Services candidate you will have access to numerous perks, including:

Exposure to a variety of career opportunities as a result of our expansive network of client companies 

Career guides, information and tools to help you successfully position yourself throughout every stage of your career

Access to more than 3,000 online training courses through our Kelly Learning Center

Group-rate insurance options available immediately upon hire*

Weekly pay and service bonus plans

IMPORTANT NOTE: This position is recruited by a remote Kelly branch, NOT your local Kelly Services, Inc. office. For immediate consideration contact Deb Evers at 715-446-1755.