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Customer Care Coordinator Miami, FL

Location: Miami, FL
Job Family: Medical
Req #: PS38069
Date Posted: Sep 16, 2020

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Simply Healthcare, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities.

 

We are a Florida licensed health maintenance organization that serves individuals enrolled in Medicaid and/or Medicare programs, Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve.

 

Customer Care Coordinator

 

Have a passion for helping others? Like to make a difference? Our call center truly helps our members solve problems!! 

 

We are available to our members from 8:00AM - 5:00PM EST

and must be flexible to work additional hours.


 

What will my day look like?

 

We have amazing customers and when they need help with anything – they contact you! You may assist a customer to find the right doctor for them or their family, solve a claim concern, or help them understand their benefits. Every time a customer calls with a question or concern, you guide them through.

Here’s what a typical day may look like:

  • Implements, coordinates, monitors, and evaluates options and services to meet member's health needs and ensures appropriate use of clinical resources.
  • Monitors delivery of care across all markets.
  • Maintains daily admissions and discharge records.
  • Expedites and coordinates appointments for assigned hospitalized patients.
  • Authorizes and coordinates services.
  • Keeps all providers involved with members care updated on appointments, condition, and additional clinical support needed.
  • Requests and gathers necessary medical records.
  • Maintains accurate and complete documentation in Case Management
  • Most of your time is on the phone helping members and using computer-based resources to help retrieve information.
  • Don’t like reading off scripts? We don’t either. We help you deliver excellent service to our members without needing a script.
  • You are the caring problem solver for our members
  • Maintaining a positive relationship with our members to help them with whatever challenges they are facing
  • Look at data to help advise our members on the next course of action
  • Place follow-up calls or emails routinely
  • Participate in various projects to help you grow in your career path in the fast-paced healthcare industry

Qualifications

Requires a high school diploma; 2 years of experience in Care Coordination in an HMO environment preferred; or any combination of education and experience, which would provide an equivalent background.

·  -Medical Assistant Certification preferred.

·  -Excited and passionate about helping to solve problems - you don’t need to have a healthcare background to apply, but it is preferable.

·  -Be curious about our members needs with a sincere satisfaction in providing a high level of service

·  -A strong communicator with good listening skills and the ability to be empathetic and helpful.

·  -Easy to work with and a positive attitude toward resolving different challenges throughout the day.

·  -Enthusiasm to work with customers on complex issues and a desire to find resolutions.

·         -Familiarity with medical terminology a plus.

·         -Bilingual Spanish is a plus.

·         -Good computer skills: MS Office (Word, Outlook, Excel)

 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com

 

An Equal Opportunity Employer/Disability/Veteran

 


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