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Location: Louisville, KY
Job Family: Customer Service
Req #: PS41338
Date Posted: Dec 17, 2020
DescriptionSHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. 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 at one of America's leading health care companies and a Fortune Top 50 Company.
Outreach Specialist is responsible for serving as the initial and main point of Field contact between the Company and the current and potential members.
Primary duties may include, but are not limited to:
•Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.
•Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
•Supports and promotes State Sponsored Programs through participation in community events. Represents State Sponsored Programs in community collaborations.
•Supports member access to care through home visits, processing of reports, and distribution of collateral materials. Performs new member orientations.
•Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.
•Provides superior, professional, and courteous service to customers.
•Requires HS Diploma; 1 year of customer service experience, understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs; or any combination of education and experience that would provide an equivalent background.
•Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations, ability to work professionally with the company's associates, community-based organizations, providers and plan members.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.