Clinical Call Center Coordinator(Fully Remote)

Clinical Call Center Coordinator

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 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: 1-3 years of call center 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. Proficient with computers, including Microsoft Office and data management systems. English and Spanish bilingual.

Preferred Skills: Experience with HEDIS activity coordination and working with Managed, Acute, Provider Care environment. NCQA and HEDIS experience.

Nesco Resource offers a comprehensive benefits package for our associates, which includes a MEC (Minimum Essential Coverage) plan that encompasses Medical, Vision, Dental, 401K, and EAP (Employee Assistance Program) services. Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.