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Health Program Representative I

at Anthem, Inc in Wilmington, Delaware, United States

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Responsible for providing initial contact between distinct Care Management programs and specific identified members. Under direct supervision handles inbound/outbound enrollment and engagement calls with eligible members to provide information regarding program features.

Primary duties may include, but are not limited to:

+ Gathers and records appropriate member information in accordance with policies and procedures via telephone.

+ Encourages members to participate in the Care Management programs by providing information about the program, outlining program features/value and explaining available services.

+ Records call details and utilize call scripts as needed based on client requirements.

+ Directs member inquiries to appropriate clinical staff. Initiates referrals and manages consults from clinicians for participants registered in Care Management.

+ Gathers information from hospitals, health plans, physicians, patients, vendors and other referral sources.

+ Contacts physician offices to obtain demographic information or related data as needed.

Qualifications

Required Qualifications

+ Requires HS diploma or the equivalent

+ Minimum of 6 months experience in a telesales or customer service; or any combination of education and experience which would provide an equivalent background.

+ Computer/keyboarding proficiency required.

Preferred Qualifications

+ Knowledge of company products, services and benefits preferred.

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. REQNUMBER: PS56866
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Job Posting: JC191926687

Posted On: Sep 09, 2021

Updated On: Oct 02, 2021