Easter Seals Jobs

Title: Health Program Representative I

Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.

The Health Program Representative I will be responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.

How you will make an impact:

• 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.

Minimum Requirements

• HS diploma or the equivalent

• Minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications

• Computer/keyboarding proficiency strongly preferred.

• Knowledge of company products, services and benefits preferred.

• Experience in call center environment preferred.

• Able to work 11:00am - 7:30pm EST highly preferred.

• Knowledge of health care and health coaching preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.