Amerigroup , a proud member of the Anthem, Inc. family of companies, is focused on serving Medicaid, Medicare and uninsured individuals and families. We improve access to quality health care for the financially vulnerable, seniors and people with disabilities.
Here, you can do work that matters and offers opportunities for personal and professional growth. Together, our associates are transforming health care with trusted and caring solutions.
Outreach Care Specialist
Responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.
This is a call center position. You will be on the phone the majority of the work day.
Primary duties may include, but are not limited to:
Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
Assesses member compliance with medical treatment plans via telephone or through on-site visits.
Identifies barriers to plan compliance and coordinates resolutions.
Identifies opportunities that impact quality goals and recommends process improvements.
Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and 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 case and compliance updates.
Establishes and maintains relationships with agencies identified in appropriate contract.
This position will sit onsite in San Antonio, TX (12500 San Pedro Ave).
This is NOT a work from home position.
Hours for the position are Monday - Friday 8 AM to 5 PM C ST.
High School Diploma or GED;
1 year of related experience;
previous call center experience
or any combination of education and experience, which would provide an equivalent background.
Healthcare call center experience
Microsoft Office experience is highly preferred
/ Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine, and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at / / antheminc.com/careers //. EOE. M/F/Disability/Veteran./
Title: Outreach Care Specialist - San Antonio, TX - 121684
Location: TX-San Antonio
Requisition ID: 121684
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