- Receive inbound calls; calls may involve claims status, rejections & benefit information; proficient computer skills
- Communicate effectively with members
- Initiate outreach efforts, primarily by telephone, to conduct screening/surveys of members who may benefit from Care Coordination assistance. (Ex. Members who have needs relating to Physical Health, Behavioral Health and Health Related Social Needs (SDOH)
- High school diploma/GED
- Must be comfortable working in a high call volume position (100 calls a day, with 50 being outbound calls and 50 being inbound calls)
- Minimum of 1-3 years of Call Center experience preferred
- 1-3 years of Screening/Survey experience preferred
- 1-3 years of Customer service experience required
- Manager is open to more than 3 years of call center/csr experience
- Must be proactive, self-directed, assertive and creative in problem solving and system planning
- Strong active listening skills with the ability to act sensitively toward diverse people and situations. Ability to successfully interact with external customers, peers, colleagues, and management team
- Demonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneously
- Demonstrate effective time management skills and demonstrate an ability to prioritize and handle multiple tasks simultaneously
- Must demonstrate sound judgment and discretion when approaching problems and making decisions
- Prefer candidates who are familiar with Delaware, local resources and the DE Medicaid population but it is not required
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