[Hiring] Outreach & Enrollment Specialist @Renalogic

Role Description

In this role, you will develop and utilize in-depth knowledge of Renalogic programs to effectively support member outreach, engagement and enrollment.

• Make calls and outreaches and describe the benefits of our program.
• Engage with and enroll eligible health plan members into Renalogic clinical programs, which provide no-cost health education, coaching, support and advocacy to individuals with or at risk of kidney disease.
• Meet call volume and enrollment requirements; proactively assess and revise approach as needed or directed using multiple forms of communication (i.e. phone, text, secure online chat).
• Determine eligibility and perform various enrollment and disenrollment processes for related members to ensure compliance.
• Partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guidelines.
• Obtain missing information and data, such as phone numbers, to complete enrollment questionnaires and document important information.
• Contact provider offices to obtain information such as fax numbers and request medical records.
• Anticipate workflow needs based on established processes, policy, and procedures.
• Appropriately document all outreach efforts in a way that promotes departmental transparency and complies with HIPAA.
• Appropriately document health data which includes identifying potential cost containment opportunities; refer high-risk or changes in status situations to Health Coaches and/or Care Managers.
• As needed, communicate needs, challenges, and provide feedback to peers and Coach.
• As needed, complete claims and pre-certification reviews.

Qualifications

• Must have at least 1 year of outbound call and/or enrollment experience.
• Must have at least 1 year of experience selling a program or product to a consumer.
• Remote work experience is required.
• Clinical or Health Care experience and knowledge highly preferred.
• Excellent customer service and interpersonal skills, including conveying empathy when necessary.
• Ability to flex your schedule at times, as some evening and weekend hours will help accommodate member schedules and increase our enrollment chances.
• Ability and willingness to travel multiple times a year, which will include overnight stays for corporate gatherings, conferences, and health fairs.
• Ability to attend and professionally engage in video meetings with other employees, clients, and members.
• Strong technological skills, meaning you can effectively and efficiently use computers, peripheral equipment, and applications/systems, including Microsoft products.
• Autonomous self-starter who is comfortable with ambiguity.
• Creative mindset and ability to appropriately challenge the status quo.
• Superb written and oral communication skills.
• Ability to overcome obstacles with a ‘yes if...' approach.
• Ability to effectively balance competing deadlines without losing focus on the bigger picture.
• Reliable internet and power with a designated area to conduct work with minimal interruptions.

Benefits

• Market competitive salary and company stock options.
• Potential for annual merit increases and bonuses contingent on the company's fiscal performance.
• Generous time off and paid holidays because we appreciate recharging.
• Partially paid leave for qualifying family or medical reasons once employment eligibility is met.
• A comprehensive health benefits plan with a portion of premiums covered by the company. Benefits include medical, dental, vision, life insurance, short term disability, long term disability, critical illness, accident, hospital indemnity, identity theft, and pet insurance. Eligibility to participate begins the first of the month following 60 days of employment.
• 401k with up to 4% employer match. Eligibility to participate begins the first of the month following 6 months of employment.