Offer summary

Qualifications:

High school diploma or GED required., 1 year of college and 2 years of experience with communication systems including Fax, Email, and Telephone., Experience with managed care systems or healthcare systems is necessary., Basic knowledge of medical terminology and proficiency in Microsoft Office applications is essential..

Key responsibilities:

Support administrative care management duties including member and provider outreach.

Assist in scheduling care manager and member appointments and respond to member inquiries.

Manage low-risk members for health-related social needs and conduct outreach screenings.

Coordinate member needs and provide assistance while analyzing member requirements.

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary

This position supports administrative care management duties including member and provider outreach, supporting healthcare initiatives and activities including educational and quality campaigns, assistance in scheduling care manager and member appointments, responding to member inquiries, data entry and research, supporting member non-clinical needs. This position may be responsible to manage low-risk members for health-related social needs, education, and basic member outreach screenings/inquiries.

JOB REQUIREMENTS:

High school diploma or GED
1 year of college and 2 years’ experience with communication systems including Fax, Email and Telephone
1 year experience with managed care system(s) or healthcare systems (i.e. hospital, doctor’s office, community-based organization).
Experience coordinating member needs, providing assistance to members, and analyzing member needs.
Basic knowledge of medical or healthcare terminology.
Knowledge of clinical systems (claims, enrollment, documentation).
PC proficiency including Microsoft Office applications.
Customer service skills.
Verbal and written communications skills including developing written correspondence to internal and external stakeholders.

PREFERRED JOB REQUIREMENTS:

College courses in medical field, human services, social work, psychology or related healthcare field

#LI-FW1

#LI-Remote

This is a Telecommute (Remote) role for Nashville, Tennessee. Must reside anywhere within the posted State(s).

Work Schedule: Monday through Friday 8 AM to 5 PM.

Sponsorship is not available.

The Compensation/Salary offered for this Position will vary depending on Job-related skills, education, knowledge and experience. This role aligns with an Annual Performance Incentive (Bonus) plan.

We encourage people of all backgrounds and experiences to apply.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.