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Member Education Specialist
Ref No.: 18-08564
Location: Chattanooga, Tennessee
Position Type:Contract
Start Date / End Date: 07/30/2018 to 07/25/2019
Education High School Diploma or equivalent required Experience Customer Service experience preferred. Medicaid experience preferred. Skills/Certifications Microsoft Office products knowledge desired Effective oral communication and interpersonal skills Good written communication skills Good organizational and time management skills Sound decision-making and problem solving skills Typing test will be given.

The position is accountable to provide member education and outreach which includes, but is not limited to, general health education on key objectives (childhood, adolescent and adult development skills and needs) as well as chronic disease prevention and education on specific HEDIS measures with an emphasis on scheduling appointments for needed services. Conduct outbound educational telephone calls regarding available benefits, services and programs as well as complete health needs assessments and refer members to Population Health Programs as needed, Encourage and motivate members to become compliant by scheduling appointments and coordinating the needed appointments with provider offices Be familiar with provider locations and specialties to ensure access to services Coordinate transportation to and from appointments when necessary Treat customers in a courteous, friendly tone and professional manner Listen intently to customer's needs and concerns Be knowledgeable of member materials (written, website, and Facebook) and order materials when necessary Be knowledgeable of HEDIS measures, claims billing guidelines and health plan standards Utilize member engagement techniques and offer incentives as applicable Utilize systems such as Facets, CareCommunications Management Systems (CCMS) and Care Advance (CA) Manage CCMS call que daily to ensure timely completion of tasks due to the specificity of timeframes for certain call types (for example: prenatal, postpartum, immunizations, appointment reminders and follow-ups) Educate members on available community resources as necessary Be aware of physical and behavioral trauma triggers and act to engage appropriate staff Assist with inbound customer service lines and/or work overtime as needed