Health Program Representative I - Texas - #98611

Company Name:
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.
Preferred Locations: Austin, El Paso, Grand Prairie, or Houston, Texas
The Health Program Representative provides 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.
/Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine, and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at/ / / /. EOE. M/F/Disability/Veteran./
Requires high school diploma or the equivalent; 6 months experience in a telesales or customer service demonstrating ability to influence customers/ members; or any combination of education/experience, which would provide an equivalent background.
Computer/keyboarding proficiency and the ability to follow defined policies and protocols required.
Knowledge of company products, services and benefits preferred.
Bilingual preferred
Job Customer Service
Title: Health Program Representative I - Texas - #98611
Location: TX-Austin
Other Locations: TX-Grand Prairie, TX-El Paso, TX-Houston
Requisition ID: 98611

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