Member Outreach Specialist / Administrator at Kapolei

Job Description

WHY BEACON?

 

Beacon’s objective is to be the single best source of clinical excellence and cost containment for the most complex individuals in any covered population.  In close partnership with health plans, we help bring together the fragmented pieces of healthcare to achieve better results for our members. 

 

Much like the uniquely effective programs we have developed for our members, Beacon also strives to offer a uniquely effective employee experience for all. We offer a competitive benefits package that includes: medical, dental, vision, 401K with company match.  We also offer STD, LTD and Life Insurance coverage that is entirely paid for by Beacon.  Employees are also welcome to participate in our Flexible Spending Accounts (Medical and Dependent/Parking and Transit) as well as our Tuition Reimbursement Program.  We truly value our employees and encourage continual development in a diverse and collaborative work environment.  We also have a rewarding companywide employee recognition program that is fueled by employee performance and contributions.

 

Enhance your knowledge and dedication to quality healthcare by fully utilizing your expertise at one of our specialized behavioral health solutions: Beacon in Boston, MA; Autism Services Group in Ewing, NJ; College Health IPA in Cypress, CA; Psychcare, LLC in Miami, FL; and Beacon UK in the United Kingdom, and additional opportunities across the nation.  Apply today and find your potential with Beacon.

 

Beacon Health Strategies is an EOE.

JOB DESCRIPTION:

The Member Outreach Specialist for the psychotropic drug intervention program (PDIP) is responsible for:

 

• Administrative support for the psychotropic drug intervention program (PDIP) and other administrative support duties within the clinical department as assigned.
• Enrolling and managing plan members into our targeted outreach programs in order to increase the quality of care with their prescribed drug regimen and mental health care.

Job Requirements

PRIMARY RESPONSIBILITIES

 

Coordinate enrollment for eligible members according to established standards, which include:

a)  Learning and memorizing call scripts for outreach calls

b)  Performing member reminder calls and facilitating member mailings if necessary

c)  Provide clear documentation/outreach to ensure Beacon is meeting its standards

d)  Perform outreach calls and enroll plan members into the HEDIS Program

Manage the daily call load and track outreach performance

Utilize program software and provide feedback about enhancements and efficiencies

Enter relevant call notes and information in the software and create hard copy files, when required, of this information

Maintain logs regarding call management, program effectiveness, and complete follow-up activities as required

Facilitate weekly interventions for all active contracts through data entry into our internal application

Ensure verification of all provider contact information by outbound telephone calls to providers and online research

Accept inbound calls from members and providers who may have questions about our programs and services

Coordinate mailings and faxes for weekly member and provider notifications.

Obtain and track returned mail notifications.

Other duties as assigned

Manage returned communications and notifications and track with program software

EDUCATION

Associates Degree preferred

 

EXPERIENCE

Health care customer service experience preferred

Proficiency in Word, Excel, PowerPoint and database programs required

Ability to work flexible hours on an as needed basis

 

SUPERVISION   EXERCISED:

None

 

SUPERVISION RECEIVED:

Weekly or as needed by PDIP Team Lead

 

WORKING CONDITION: 

General office environment 

 

JOB CLASSIFICATIONS:

Non-Exempt

Country: USA, State: Hawaii, City: Kapolei, Company: Beacon Health Strategies.