At least 1 year of experience in a call center environment., High level Spanish speaking and writing skills are required., HS diploma/GED is mandatory., Experience with Microsoft Suite (Excel & Word) is necessary..
Key responsabilities:
Perform telephonic outreach to MTM-eligible members according to program specifications.
Accurately collect and record data into the MTM chart in preparation for clinical interviews.
Follow established CSS policies and procedures, including HIPAA guidelines.
Provide administrative support and operate various software applications to support MTM processes.
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As a mission-driven pharmacy health expert, Clarest Health cares for every patient individually and holistically. By embracing modern technology and personalized medication data analytics, we support both professional care providers and home-based caregivers to advance a patient’s health at every step on their wellness journey.
CSS Health (a division of Clarest Health) is a software company that supports health insurance companies by providing software solutions and outsourced services. We license software to help manage medical programs, particularly the Medication Therapy Management (MTM) Program required by CMS for Medicare Part D. We also offer outsourced MTM services, utilizing our team of pharmacists, clinicians, and support staff to conduct Comprehensive Medication Reviews (CMRs) for our clients' members. These reviews are crucial for maintaining high star ratings in Medicare Part D programs.
The Patient Engagement Specialist's r esponsibilities include performing outreach to MTM-eligible members, managing data and providing administrative support. The role also involves operating software, while adhering to CSS policies and HIPAA guidelines.
Location : Remote or Hybrid (Buffalo, NY)
Salary : $17.50/HR Bilingual (Spanish) - Ramps up to $20.50 after the first year!
Reports To : Patient Engagement Supervisor
Schedule: Monday through Thursday 11am- 7pm, Friday 9am to 5pm ES T
What We Offer
Comprehensive Medical, Dental and Vision Insurance (as low as $13.33/pay)
Paid Time Off
Free Virtual Care – Telemedicine
401k with company match
Referral Bonuses
Life Insurance
Make a difference in the lives of others!
We are growing and that means more opportunities
Key Responsibilities
Perform telephonic outreach to MTM-eligible members as per CSS client’s program specifications.
Accurately collect and record data into the MTM-eligible member’s MTM chart, following decision-based logic within the platform, in preparation for the clinical interview.
Follow all established CSS policies and procedures, including but not limited to HIPAA, privacy and security policies and procedures.
Receive inbound calls, conduct outbound calls and direct calls to appropriate parties.
Provide administrative support functions as needed.
Operate office equipment such as voice mail messaging systems, email, and various software applications to support CSS’s MTM operational processes.
Perform other duties or tasks as assigned or required.
The ability to adhere to Clarest’s Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer
Qualifications
At least 1 year of experience in a call center environment required
At least 1 year of experience performing telephone outreach to customers (patients preferred)
Must have high level Spanish speaking and writing skills.
HS diploma/GED required
Microsoft Suite (Excel & Word) experience required
Understanding and following HIPAA, Privacy, Safety and Compliance guidelines preferred.
Must have high-speed internet
Ensure a quiet, private workspace that is free from interruptions and distractions, allowing you to focus and perform tasks efficiently while working remotely
Skills + Abilities:
Ability to work as a team member
Maintain professionalism, and have excellent communication skills
Extreme attention to detail
Positive professional work ethics are essential
Continuously improve knowledge and skills, demonstrating a strong willingness to learn and adapt
Proficient with computers and comfortable learning new programs
Excellent verbal and written communication skills, with the ability to convey information clearly and empathetically
Clarest is an Equal Opportunity Employer. Reasonable accommodations will be made to enable individuals with disabilities to apply for a job or to perform the essential functions of their job. Please advise us if you require a reasonable accommodation.
Required profile
Experience
Spoken language(s):
Spanish
Check out the description to know which languages are mandatory.