AllCare Health · 13 hours ago
Member Engagement Representative
Grants Pass, OR
Full-time
Onsite
New Grad, Entry Level
$20/hr - $22/hr
0+ years expAllCare Health is a certified B Corp dedicated to improving community health and well-being. The Member Engagement Representative conducts outreach to health plan members, educating them on preventive care and supporting chronic condition management while collaborating with internal teams for care coordination.
Health CareWellness
Responsibilities
Conducts outbound phone calls and sends written communications to educate members on preventive health services and the importance of follow-up care
Accurately documents all member interactions using EZ Cap and Essette systems in accordance with organizational standards
Collaborates with internal staff to retrieve documentation and perform basic data analysis to support member care coordination and outreach initiatives
Collaborates and assists with departmental and interdepartmental staff to coordinate care for members with questions about benefits or health concerns
Participates in community health activities, outreach efforts, and special projects
Adheres to all HIPAA privacy and security regulations to protect member information
Communicates health information clearly and effectively while actively listening to member needs
Tracks and documents multiple outreach projects with accuracy and attention to detail
Monitors and assesses member needs during phone calls and follows up on any healthcare concerns
Applies logic and reasoning to identify opportunities for program improvement and outreach expansion
Maintains a flexible schedule to support varying work locations, meeting sites, and educational events
Supports data collection and reporting efforts to evaluate outreach effectiveness and member engagement outcomes
Maintains punctual, regular and predictable attendance
Works collaboratively in a team environment with a spirit of cooperation
Respectfully takes direction from leadership
Meets all required training including those listed in Relias Learning Module System (LMS)
Performs other duties as assigned
Qualification
Required
High school diploma or general education degree (GED) required
One to three months' experience working in customer service, member engagement, care coordination, community health, or a related field is preferred
Valid Oregon Driver's License and vehicle insurance
Familiarity with the healthcare industry
Knowledge of and compliance with HIPAA regulations
Computer skills, including the Microsoft Office Suite (Outlook, Word, and Excel)
Knowledge of customer service and service recovery best practices
Knowledge of phone customer service best practices
Excellent organization and time-management skills
Demonstrates accountability and inspires trust and confidence from others
Communicates effectively and professionally with team members and customers
Collaborates within a multidisciplinary, diverse team to provide professional service
Maintains an attentive, empathetic, and professional demeanor
Adapts to change, learns quickly, and works well with ambiguity
Manages time effectively, prioritizes tasks, and meets competing deadlines
Takes initiative and applies sound judgment in completing tasks
Self-resolves most conflicts or misunderstandings with minimal supervision
Provides respectful and understanding service in a multicultural environment
Maintains the high degree of professionalism and confidentiality
Works with high initiative, energy, and effectiveness in a fast-paced environment
Interacts positively with customers to resolve problems in a pleasant and professional manner
Uses creativity and resourcefulness to solve new problems
Copes and self-manages during stressful situations
Creates a pleasant experience for all customers by being personable and attentive
Meets timelines for goals safely and with a high level of quality
Ability to read a limited number of two- and three-syllable words and to recognize similarities and differences between words and between series of numbers
Ability to print and speak simple sentences
Ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's
Ability to perform these operations using units of American money and weight measurement, volume, and distance
Has the minimal skills necessary to operate a computer
Can log on to a computer system, navigate in windows, perform simple tasks within applications and enter information into a database
Ability to apply common sense understanding to carry out simple one- or two-step instructions
Ability to work with standardized situations with only occasional or no variables
The employee must occasionally lift and/or move up to 10 pounds
The employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear
The employee is occasionally required to stand; walk and reach with hands and arms
The noise level in the work environment is usually moderate
The employee must be able to work onsite (for all scheduled shifts, occasionally, frequently, as needed)
The employee must be able to travel locally, as needed
Benefits
Affordable healthcare
401k retirement
Wellness programs
Flexible schedule options
Company
AllCare Health
Allcare Health specializes in primary, specialty and behavioral health services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Kelley Burnett
Chief Medical Officer
Recent News
2023-12-23
Company data provided by crunchbase