Outreach Specialist
Anthem
5,330 reviews
Tampa, FL 33607
Remote
Full-time
Anthem
5,330 reviews
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Job details
Job Type
Full-time
Full Job Description Description
SHIFT: Day Job
SCHEDULE: Full-time
Your Talent. Our Vision. At Simply Healthcare, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. We are a Florida licensed health maintenance organization that serves individuals enrolled in Medicaid and/or Medicare programs, 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.
This is a Work At Home position but the candidate will need to reside in the East Central Florida area in order to go onsite to providers offices and community events in Regions 3, 5, and 6.
The Outreach Specialist is responsible for serving as the initial and main point of Field contact between the Company and the current and potential members.
Primary duties may include, but are not limited to:
• Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.
• Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
• Supports and promotes State Sponsored Programs through participation in community events.
• Represents State Sponsored Programs in community collaborations.
• Works with front desk staff, provider, and member to act as a liaison between the health plan, the member, and the provider.
• Coordinates identification of and referral to local, state or federally funded programs.
• Coaches members on ways to reduce health risks.
• Prepares reports to document membership trends for providers.
• Documents interactions with patients and providers.
• Performs new member orientations.
• Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.
• Provides superior, professional, and courteous service to customers.
• Establishes and maintains relationships with agencies identified in appropriate contract.
• Attends meetings as required.
Qualifications
• Requires HS Diploma or GED from accredited institution.
• 1 year of customer service experience, understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs; or any combination of education and experience that would provide an equivalent background.
• Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations, ability to work professionally with the company's associates, community-based organizations, providers and plan members.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.