Enrollment Specialist - Care Coordinator

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members.

The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.

Sagility has more than 25,000 employees across 5 countries.

Job title:

Enrollment Specialist - Care Coordinator

Job Description:

The Sagility Team is currently hiring a talented Care Coordinator.

In this non-clinical role, you will deliver exceptional quality and service to all patients and other customers through a constant pursuit of excellence and respect for every individual.

Education:

High School Diploma or equivalent required

Experience:


* Minimum 1-year experience working in an office setting as a receptionist, telephone customer service representative, or telemarketing representative required.

Direct experience in a telehealth support function preferred.


* Good communication skills via telephone with members, customers, peers and superiors


* Experience working in a medical setting preferred.

Mandatory Skills:


* Excellent interpersonal skills


* Ability to understand and interpret policy provisions.


* Ability to learn and demonstrate product knowledge


* Accurately enter information into a computer while talking with a customer


* Problem solving skills


* Proficient computer skills


* Demonstrate empathy


* Strong member advocate: willing to go above and beyond normal responsibilities to provide the best service possible


* Ability to assist members in navigating the healthcare system and community-based resources


* Culturally sensitive and competent for assigned membership


* Strong organizational skills; ability to multi-task and be nimble


* Ability to work remotely


* Ability to determine when to escalate issues appropriately and in a timely manner

Roles & Responsibilities:


* Work in multiple products conducting outbound call projects to members for enrollment purposes, customer satisfaction surveys, and other outbound projects


* May work in multiple products receiving inbound calls from members, physicians, clients and others to


* Process requests per Sagility LLC policies and guidelines


* Routes messages to appropriate nurses and makes pertinent notes in patient charts when necessary.


* Ensure that notes are clear and timely


* Use applications according to policies and guidelines to ensure quality delivery of services.


* Maintains a mutually effective working relationship with callers, physician offices, clients, team members, supervisors, and internal customers


* Maintains confidentiality of all patients according to HIPAA standards.


* Collects and validates patient demographic information including insurance...