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Healthcare Member Services Agent

EXTRA HOLIDAYS
Remote: 
Full Remote
Contract: 
Work from: 
Arizona (USA), United States

Offer summary

Qualifications:

High school diploma or GED required, Call center/customer service experience preferred, Knowledge of medical terminology preferred, Bilingual (Spanish-speaking) preferred, Strong technical skills with Microsoft products.

Key responsabilities:

  • Facilitate care coordination efforts for members
  • Provide member education and support customer care initiatives
  • Coordinate scheduling and manage care activities
  • Document member interactions and confirm eligibility
  • Ensure compliance with Arkos Health and HIPAA guidelines
Arkos Health logo
Arkos Health SME https://arkoshealth.com/
501 - 1000 Employees
See more Arkos Health offers

Job description

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Your missions

Arkos Health is seeking a Member Service Agent with experience in a call center environment to join our team!


Our Organization:

Welcome to Arkos Health! We are a value-based healthcare company providing solutions for payors and providers by combining unique technology with in-home, virtual, and in-clinical care for patients. Backed by a robust technology platform, innovative software, and a light human touch, Arkos Health is committed to delivering advanced and accessible community-based services allowing our clients to live healthier, more independent lives. How do we do this? Arkos serves health plans and provider organizations by managing their highest-risk and highest-cost populations. Our goal is to be the most valued partner to health plans, service providers, and the community we collectively serve.  


How You'll Make a Difference:

The Member Service Agent will be responsible for facilitating care coordination efforts for members across all omnichannel operations. The Member Service Agent will perform non-clinical tasks such as scheduling for multiple service lines, administering assessments and surveys, completing quality gap closures, supporting customer care initiatives, providing member education, and executing other duties as assigned. The Member Service Agent serves as Arkos Health’s front-line contact to support members through timely, high quality, and efficient health care. The Member Service Agent goal is to maximize the members’ health care experience and outcomes through empathetic and intuitive communication that is essential to establishing member relationships.

Please note: Must reside and be fully authorized to work in the US.

**We are seeking remote applicants, preferably in Arizona, Illinois, New Mexico, Nevada, Texas or any state except California, Colorado, New Jersey, New York, Oregon, Massachusetts and Washington. 


Essential Duties and Responsibilities:

  • Provide positive member interactions across all omnichannel operations
  • Provide explanations of services and obtain verbal consent when scheduling members for designated call campaigns
  • Coordinate and manage care coordination activities in accordance with contracted agreement of all health plans and referring providers
  • Initiate timely contact, confirm eligibility, document all member interactions, and schedule members via company-appointed scheduling system in accordance to call center guidelines
  • Work independently, from remote location when necessary, utilizing company-provided telephonic systems and peripherals
  • Ensure compliance with Arkos Health and HIPAA guidelines
  • Other call center-related tasks as assigned

Qualifications and Skills:

  • High school diploma or GED required, some college or medical certification preferred
  • Previous call center and/or customer service experience preferred
  • Knowledge of medical terminology and member care preferred
  • Bilingual (Spanish-speaking) is preferred
  • Weekend availability is not required, but is preferred
  • Strong technical skills with Microsoft products, especially Excel.
  • Strong multitasking skills (i.e. ability to effectively search for and type information on computer, navigate multiple windows/screens quickly and input information accurately while keeping pace with the call) and ability to work in a fast-paced environment.
  • Strong soft skills (i.e. ability to build rapport and match tone, pace, timing, etc.)
  • Self-motivation, including ability to maintain positive attitude while solving problems and striving for continuous improvement toward team goals

Benefits:

  • Employer-paid Medical premiums at no cost to you
  • Employer-paid Dental premiums at no cost to you
  • Employer-paid Vision premiums at no cost to you
  • Employer-paid Short-Term Disability premiums at no cost to you
  • Employer-paid Life Insurance premiums at no cost to you
  • Employer matching 401(k)
  • 15 days annual combined sick/vacation and 9 days of holiday during your first year
  • Your Birthday off!


Must complete our Culture Index Survey. Take the assessment at https://go.cultureindex.com/s/bg3VS0H2kF.   This is not a pass/fail test and does not measure intelligence.


Arkos Health EEO Statement:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.


Arkos Health is a drug-free workplace. All job applicants selected for employment are required to submit to a pre-employment drug test and background check.


Arkos Health participates in E-Verify to confirm eligibility to work in the United States. To view the details on this program, visit our career page at Careers - Arkos Health

Required profile

Experience

Spoken language(s):
Check out the description to know which languages are mandatory.

Soft Skills

  • Multitasking
  • Customer Service
  • Teamwork
  • Problem Solving
  • Self-Motivation
  • Verbal Communication Skills
  • Microsoft Excel

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