Clinical Call Center Coordinator

iCare Health Solutions is a managed care company that offers a full continuum of third-party administrative services such as network management, claims processing, credentialing, utilization management, HEDIS outreach programs, and much more. We have over 30 years of successful operating experience partnering with health plans to manage ophthalmic, optometric, and podiatric benefits.

Due to our dedication and investment in technology, we can offer our network providers innovative technology-based tools, enabling them to focus on quality care. In turn, our network provider's time is spent focusing on patient care and not on paperwork.

Essential Functions

Responsible for facilitating the scheduling of appointments for members with the use of effective communication, technology, and customer service skills

Responsible for informing members regarding the program benefits

Collaborate with the internal call center and HEDIS team regarding workflow process improvement, document management, and abstraction education

Other duties, as assigned

Job Specifications

Typically has the following skills or abilities:

High School Degree or equivalent

1-3 years of call center experience

NCQA and HEDIS experience

Excellent oral and writing skills

Critical thinking skills

Must be organized with the ability to keep accurate notes and records

Demonstrated ability to articulate goals, plan and implement processes, and meet deadlines

Good analytical skills and the ability to problem-solve creatively, objectively, and rapidly

Excellent organizational and interpersonal skills

Operational knowledge of managed care or healthcare plans, team members, and clinical staff

Ability to work in a time-sensitive environment

Computer literate and proficient in Microsoft Office and data management systems

Experience with Excel

Preferred Skills

Experience with HEDIS activity coordination and working with Managed, Acute, Provider Care environment

Bilingual (English and Spanish)

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