Customer Service Representative - Dallas, United States - Equality Health
Description
Equality Health, LLC is a Phoenix-based whole-health delivery system focused on transforming value-based care delivery with population specific programs that improve access, quality, and member trust.
Through an integrated technology and services platform, culturally competent provider network and personalized care model, Equality Health helps managed care plans and health systems improve outcomes for diverse populations while simultaneously making the transition to risk-based accountability.
Position Summary:
The Care Specialist/Customer Service Representative is primarily responsible for providing supportive care and assistance to a diverse patient population to identify barriers to self-care and healing, decision making, and communication in navigating the healthcare system.
The Care Specialist/Customer Service Representative works closely with, Community Health Workers, Chaplains, and other members of the Clinical Operations team, and consistently demonstrates a high standard of ethical behavior, professionalism, sensitivity, and confidentiality.*Considering candidates in Dallas, TX area and position is remote*Responsibilities:Conduct outbound phone calls to members to conduct health assessments, identify care needs, and determine appropriateness for participation in care coordination programsAssist and support patients with barriers to care including, but not limited to, scheduling appointments, and locating and accessing community resourcesWork collaboratively with patients, network providers, referral coordinators, office and hospital staff; document all activitiesCommunicate care coordination services available to patients and caregiversScreen for physical health and behavioral health needs to refer to appropriate healthcare professionals for effective and timely interventionPerform a variety of activities to provide meaningful data to providers, patients and their familiesParticipate in a variety of educational programs to maintain current skill and competency levelsPerform miscellaneous job-related duties as assignedRequired Knowledge, Education & Experience:Associates degree in Healthcare or a related field of study; or, an equivalent combination of education and/or experienceMinimum two (2) years of experience in customer service or in a directly related position in the healthcare industryProficiency with Microsoft Office applications and web-based technologiesBilingual; able to read, write, and speak Spanish and English proficientlyHighly Preferred Skills, Abilities & Qualifications:Previous experience, knowledge and understanding of coordinating care for membersFamiliarity with federal and state laws and requirements related to healthcare and health information protectionOne or more of the following certifications: Basic Life Support (BLS), Certified Medical Assistant (CMA), Certified Nursing Assistant (CNA), Emergency Medical Technician (EMT)Excellent verbal, written and interpersonal communication skillsAble to speak clearly and concisely in English and Spanish, conveying complex or technical information in a manner that others can understand, and able to understand and interpret complex information from othersDemonstrated ability to gain acceptance and compliance from clinical staff to achieve mutually beneficial outcomesExcellent problem-solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of actionStrong organizational and prioritization skills; able to manage multiple activities and work independently with minimal supervisionEquality Health 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.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training#J-18808-Ljbffr