Healthcare Member Services Agent

at  Arkos Health

Please note: Must reside and be fully authorized to work in the US. **We are seeking remote applicants, preferably in Arizona, Illinois, New Mexico, Nevada, Texas or any state except California, Colorado, New Jersey, New York, Oregon, Massachusetts and Washington.

HOW YOU’LL MAKE A DIFFERENCE:

Arkos Health is seeking a Member Service Agent. The Member Service Agent will be responsible for facilitating care coordination efforts for members across all omnichannel operations. The Member Service Agent will perform non-clinical tasks such as scheduling for multiple service lines, administering assessments and surveys, completing quality gap closures, supporting customer care initiatives, providing member education, and executing other duties as assigned. The Member Service Agent serves as Arkos Health’s front-line contact to support members through timely, high quality, and efficient health care. The Member Service Agent goal is to maximize the members’ health care experience and outcomes through empathetic and intuitive communication that is essential to establishing member relationships.

Essential Duties and Responsibilities:

• Provide positive member interactions across all omnichannel operations
• Provide explanations of services and obtain verbal consent when scheduling members for designated call campaigns
• Coordinate and manage care coordination activities in accordance with contracted agreement of all health plans and referring providers
• Initiate timely contact, confirm eligibility, document all member interactions, and schedule members via company-appointed scheduling system in accordance to call center guidelines
• Work independently, from remote location when necessary, utilizing company-provided telephonic systems and peripherals
• Ensure compliance with Arkos Health and HIPAA guidelines
• Other call center-related tasks as assigned

QUALIFICATIONS AND SKILLS:

• High school diploma or GED required, some college or medical certification preferred
• Previous call center and/or customer service experience preferred
• Knowledge of medical terminology and member care preferred
• Bilingual (Spanish-speaking) is preferred
• Weekend availability is not required, but is preferred
• Strong technical skills with Microsoft products, especially Excel.
• Strong multitasking skills (i.e. ability to effectively search for and type information on computer, navigate multiple windows/screens quickly and input information accurately while keeping pace with the call) and ability to work in a fast-paced environment.
• Strong soft skills (i.e. ability to build rapport and match tone, pace, timing, etc.)
• Self-motivation, including ability to maintain positive attitude while solving problems and striving for continuous improvement toward team goals

• Provide positive member interactions across all omnichannel operations
• Provide explanations of services and obtain verbal consent when scheduling members for designated call campaigns
• Coordinate and manage care coordination activities in accordance with contracted agreement of all health plans and referring providers
• Initiate timely contact, confirm eligibility, document all member interactions, and schedule members via company-appointed scheduling system in accordance to call center guidelines
• Work independently, from remote location when necessary, utilizing company-provided telephonic systems and peripherals
• Ensure compliance with Arkos Health and HIPAA guidelines
• Other call center-related tasks as assigne