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Outreach Specialist | 1+ years' experience | Remote | Contract Walker Healthforce is seeking a Outreach Specialist with 1+ years' experience to support a healthcare client based out of New Jersey. This is a 6-month contract opportunity with high likelihood to renew.

START DATE

ASAP

WORKER TYPE

W2 CORE

REQUIREMENTS

Candidates must reside in New Jersey, New York. Pennsylvania, Connecticut, or Delaware Requires a minimum of 3 years of experience in customer service, telephone sales preferably in a Managed Care environment. Some experience with provider practices, physicians and/or office managers in a healthcare, group practice setting. Requires knowledge of health insurance industry High School Diploma

ADDITIONAL REQUIREMENTS

Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes Requires excellent oral and written communication skills. Requires strong interpersonal and organization skills. Requires ability to resolve problems. Should be knowledgeable in the use of intranet and internet applications.

WE CONSIDER IT A BONUS IF YOU ALSO HAVE

Some College Knowledge of contracts, enrollment, billing & claims coding/processing Knowledge Managed Care principles Ability to analyze and resolve problems with minimal supervision Ability to use a personal computer and applicable software and systems

JOB RESPONSIBILITIES

Makes outbound validation calls to providers in order to assure of demographic practitioner detail for each practice location for all Horizon networks. Contacts members regarding preventive health activities. Receives inbound services calls and provide accurate complete information in response to provider inquiries, complaints and problems within a timely fashion. Contact provider offices to encourage ongoing education and dialogue on data management best practices to service member/patient needs and to attend scheduled orientation sessions and other educational and outreach activities. Conducts provider surveys and assessments as applicable. Act as liaison with providers, members and outside community resources. Handle PCP/PCD changes for members. Verification of PCP/PCD and member eligibility with Providers. Maintain call documentation in databases with relevant information regarding special outreach projects in accordance with departmental focus and objectives. Assist provider offices with issues associated to credentialing, recredentialing, claims and provider data maintenance by providing guidance on how to proceed with the process.

WHAT WE OFFER

Competitive compensation package Weekly pay via Direct Deposit Medical, Dental & Vision available 401k options

WHY WORK WITH WALKER?

Access to our top ranked team of recruiting and placement specialists Continuous, one-on-one support from a dedicated engagement manager Professional resume development and interview preparation Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today! We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. #IND1