[Remote] Clinical Call Center Coordinator

Note: The job is a remote job and is open to candidates in USA. Sunrise Systems, Inc. is seeking a Clinical Call Center Coordinator for a leading Insurance Company. The role involves facilitating appointment scheduling for members, informing them about program benefits, and collaborating with internal teams for process improvement.

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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