Description
Primary duties may include, but are not limited to:
Qualifications
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health benefits companies and a Fortune Top 50 Company.
Primary duties may include, but are not limited to:
- 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.
Qualifications
- H.S diploma or GED
- 1+ years of experience in customer service in call center/healthcare setting required.
- Experience using Adobe and Excel programs
- Experience making outbound calls in professional setting preferred
- Patient advocacy experience preferred
