Resource Planning Associate Representative

Immediate need for a talented Resource Planning Associate Representative with experience in the Insurance Industry.This is a 05+ Months Contract opportunity with long-term potential and is located in Franklin, TN. Please review the below.

Job ID: 22-50058

Key Responsibilities:

• Place a high outbound call volume daily of 200+ calls to eligible members to schedule in-home health assessments.


• Receive a high inbound call volume daily from eligible members to scheduling in-home health assessments.


• Demonstrate extensive product knowledge, employ active listening skills, and handle objection to entice members to agree to a covered benefit provided by their insurance.


• Access various insurance portals to verify member eligibility before outreach. Multiple provider portals are used and will need to be learned.


• Update demographics and patient statuses in the electronic health record as needed, maintain complete and accurate documentation in NextGen.


• Meet daily/ weekly/ monthly metric standards set for the department.


• Schedulers are monitored on a daily, weekly, and monthly basis to record performance and progress.


• Call recordings are evaluated regularly to keep schedulers on target with performance goals and compliance.


• Create a rapport with assigned providers to communicate about schedules and travel; schedulers are the primary point of contact for providers.


• Close and frequent collaboration with -(s), team leads, and scheduling team members daily communication is required within the department to collaborate regarding status of provider schedules, leads to call, and daily assignments.


• Promote a positive customer experience in all customer interactions by demonstrating courtesy behaviors and focusing on member satisfaction.


• Maintain member information in a private and secure manner by complying with HIPAA Guidelines at all times.


• Take ownership and accountability for responding to member concerns, complaints, or questions.


• Become an expert in all available scheduling and mapping applications and software.


• Multiple applications are used daily to schedule appointments for providers, update member demographics, notate calls made to members, track leads, and strategize outreach based on available leads.


• Other duties as assigned

Key Requirements and Technology Experience:

• Highly motivated, self-directed professional with strong organizational skills and ability to work in a team environment


• Excellent verbal and written communication skills


• Excellent interpersonal skills


• Experience and strong knowledge of electronic medical records and EMR operating systems


• Prior knowledge of Medicare, Medicaid, and Medicare Advantage insurance policies


• Prior experience verifying medical insurance - through telephone IVR, electronic provider portals, etc.


• Ability to multi-task, prioritize, and manage time effectively


• Proficiency in computer-based applications such as Microsoft Office products(Outlook, Word, Excel, PowerPoint, etc.); experience with Internet Explorer


• Preferred 50 WPM

Our client is a leading Insurance Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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