Healthcare Engagement Specialist

Job Summary

Serving as the primary point of contact for members and providers, the full-time Medical Contact Center Representative will manage inbound and outbound interactions, providing exceptional service and guidance through the complexities of healthcare benefits and care management in a remote environment.

Key responsibilities

• Provide timely and accurate service to customers through various communication channels, including phone, email, and chat
• Educate customers on healthcare benefits and assist with navigating internal processes to achieve desired outcomes
• Conduct outbound outreach for program enrollment and clinical quality checks while maintaining compliance with regulations

Required qualifications

• High school diploma or equivalent required
• Minimum of 2 years of experience in customer service within a healthcare setting or related roles
• At least 1 year of experience in a healthcare contact center or outbound calling environment
• Strong empathy and the ability to build rapport with diverse individuals
• Proficiency with computer systems, including CRM software and Microsoft Office Suite