Clinical Call Center Coordinator
Essential Functions
Responsible for facilitating the scheduling of appointments for members with the use of effective communication, technology, and customer service skills
Responsible for informing members regarding the program benefits
Collaborate with internal call center and HEDIS team regarding workflow process improvement, document management, and abstraction education
Other duties, as assigned
Job Specifications
Typically has the following skills or abilities:
1-3 years of call center experience
Excellent oral and writing skills
Critical thinking skills
Must be organized with the ability to keep accurate notes and records
Demonstrated ability to articulate goals, plan and implement processes, and meet deadlines
Good analytical skills and the ability to problem-solve creatively, objectively, and rapidly
Excellent organizational and interpersonal skills
Operational knowledge of managed care or healthcare plans, team members, and clinical staff
Ability to work in a time-sensitive environment
Proficient with computers, including Microsoft Office and data management systems
English and Spanish bilingual
Preferred Skills
Experience with HEDIS activity coordination and working with Managed, Acute, Provider Care environment
NCQA and HEDIS experience
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Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services.
Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
