Note: The job is a remote job and is open to candidates in USA. Sunrise Systems, Inc. is working with a leading Insurance Company seeking a Clinical Call Center Coordinator for a contract role. The coordinator will facilitate appointment scheduling, inform members about program benefits, and collaborate with teams to improve workflow processes.
Responsibilities
- Responsible for facilitating the scheduling of appointments for members with the use of effective communication, technology, and customer service skills
- Responsible for informing members regarding the program benefits
- Collaborate with internal call center and HEDIS team regarding workflow process improvement, document management, and abstraction education
- Other duties, as assigned
Skills
- Must have experience with inbound and outbound call center
- 1-3 years of call center experience
- Excellent oral and writing skills
- Critical thinking skills
- Must be organized with the ability to keep accurate notes and records
- Demonstrated ability to articulate goals, plan and implement processes, and meet deadlines
- Good analytical skills and the ability to problem-solve creatively, objectively, and rapidly
- Excellent organizational and interpersonal skills
- Operational knowledge of managed care or healthcare plans, team members, and clinical staff
- Ability to work in a time-sensitive environment
- Proficient with computers, including Microsoft Office and data management systems
- English and Spanish bilingual
- Experience with HEDIS activity coordination and working with Managed, Acute, Provider Care environment
- NCQA and HEDIS experience
Benefits
- ACA compliant medical coverage/dental insurance/vision insurance to all employees
- Sick time benefits as required per State regulations
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