Job Description

Russell Tobin's client, an insurance company, is currently seeking Remote - Healthcare Outreach Coordinators.

Job Title: Outreach Operations Representative (Remote)

Job Type: 7 mos. Contract with pos of ext.

Pay Rate: $19 - $21.00/hr. | Start Dates: September 18 or 19

Location: Remote (U.S. Based Only)

The Outreach Operations Representative is responsible for collecting medical records from chart review programs. This role is a telecommuting position. You will be a member of the Outreach Operations team working under the direction of a team lead, SME and/or manager, responsible for provider outreach and quality assurance (QA) functions in support of the Provider Claim Review (PCR), RADV, HEDIS, and/or Provider Not Participating (PNP) team. This team interfaces with provider offices to deliver results based off a chart review that was conducted which includes outbound calling, educating providers on the reason for the project and can build relationships and listen to provider relate issues and work to resolve those in a timely manner. You may also flex between Outreach Operations programs based on business need.

This is a telecommuting position in a challenging, fast paced, high-volume operation, where accuracy and quality are essential.

Primary Responsibilities:

1. Contact providers, hospitals and/or clinical staff via phone and email to explain program and request, set commitments for information return, and explain options for completing and transmitting information.
2. Develop and manage on-going relationships with providers to reduce provider abrasion and drive program participation.
3. You will be responsible for making approx. 40 - 60 outbound calls daily and meeting program specific metrics outlined by leadership.
4. In addition to initial outreach, you will perform research to locate providers, prepare data for release, and conduct follow-up.
5. Your day will consist of 95% phone work and 5% research and data entry.
6. Respond to coaching and various forms of feedback and quality analysis to meet or exceed performance metrics.
7. Adhere to Protected Health Information PHI policies and practices.

Experience Required:

• High School Diploma or GED or equivalent experience.
• Experience in a related environment (i.e. office, administrative, clerical, customer service, etc.) using phones and computers as the primary job tools.
• Experience utilizing MS Office applications (Intermediate level of use) including word and excel.

Telecommuting Requirements:

• Must reside in the US.
• Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
• Ability to keep all company sensitive documents secure.
• Must have appropriate childcare arrangements.

Benefits that Russell Tobin offers:

Russell Tobin offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors.

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