Scheduling Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as a subject matter expert in applicable clinical programs, covering procedures, scheduling Health Assessments, protocols, benefits, and services.

• Perform member outreach and handle inbound calls within departmental target timeframes.

• Oversee member communication preferences, including preferred time of day, channel, and language; utilize interpreter services when necessary.

• Partner with Member Services, Clinical Departments, and other collaborators to enhance the member experience.

• Identify members who are targeted for care gaps and campaigns, connecting them with suitable programs or services.

• Evaluate available programs, establish eligibility, and link members to appropriate providers or vendors.

• Record member interactions in real-time and ensure timely documentation in required systems and applications.

• Accurately input member demographics and information to support data quality and outcomes reporting for the organization.

• Achieve or surpass individual and team objectives and provide activity reports as needed.

• Deliver exceptional customer service and contribute to high member satisfaction levels.

• Carry out additional duties as assigned.

⛳️ Requirements

• At least 1 year of call center experience assisting members with access to care through Medicare Advantage or HMO, including handling referrals and authorizations.

• High School Diploma or GED required.

• Strong ability to communicate positively, professionally, and effectively with others.

• Capability to lead, instruct, and work collaboratively with others.

• Proficient written and verbal communication skills.

• Ability to build and sustain constructive relationships with a diverse range of members, management, employees, and vendors.

• Skill in reading and interpreting safety guidelines, operating and maintenance instructions, and procedural manuals.

• Competence in writing routine reports and correspondence.

• Ability to speak effectively before groups of customers or employees.

• Basic arithmetic skills capable of handling two-digit numbers and performing multiplication/division by tens and hundreds.

• Strong computer proficiency.

• Typing speed of 40+ words per minute.

• Effective problem-solving, organizational, and time management skills.

• Ability to thrive in a fast-paced work environment.

• Must be available for full-time work and overtime during the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar).

• Preferred: Experience in a clinical environment managing provider schedules.

• Preferred: Experience assisting members with navigating Medicare Advantage medical, prescription drug, and supplemental benefits.

• Preferred: Call center experience in areas such as welcome/onboarding, appointment scheduling, retention, sales, or healthcare/health-plan programs.

• Preferred: Inbound call center experience that involves escalation or resolution.

• Preferred: Bilingual proficiency in English/Spanish, Vietnamese, Mandarin Chinese, or Korean.

• No licensure required.

🏝️ Benefits

• Salary range of $41,600.00 - $57,600.00.

• Overtime opportunities during the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar).

• Reasonable accommodations for individuals with disabilities.

• Equal Opportunity/Affirmative Action employment.