Outreach Specialist

Spectrum Healthcare Resources has a potential need for a Outreach Specialist - Medical Assistant. As an Outreach Specialist, you play a pivotal role in the engagement and enrollment of TriCare beneficiaries in Case Management, Care Coordination and Disease Management programs. You will make outbound and receive inbound phone calls to influence beneficiaries to actively manage their healthcare, obtain needed resources, and understand all the TriCare benefits afforded to them. You set the stage for increased engagement and adherence to our program by utilizing motivational interviewing and other techniques to identify motivations, goals and clinical needs of TriCare beneficiaries.

Requirements

• High School Graduate or equivalent GED.
• Minimum two years’ experience in a Call Center environment.
• Experience within the healthcare industry and operations along with medical terminology
• Certified Medical Assistant (CMA)
• Certified Nurse’s Aide (CNA)
• Prior experience in a Managed Care Organization (MCO)

Responsibilties:

• Review each beneficiary’s profile prior to outreach to identify areas of opportunity, which includes but is not limited to reviewing additional benefits available for beneficiaries and identify opportunities for beneficiaries to become aware of additional benefits.
• Identify and overcome barriers in order for beneficiaries to complete needed health screenings and obtain needed services.
• Act as a subject matter expert on clinical programs, tools and benefits in order to ensure beneficiaries understand what valuable services and programs are available to them.
• Prep and schedule beneficiaries for their initial appointment with a clinician or health coach.
• Documentation of preferred beneficiary outreach and communication preferences.
• Comply with HIPAA privacy laws and all other federal, state, and local regulations
• Protect and maintain the confidentiality of company and customer information, policies, and processes
• Performs other duties as assigned

Company Overview:

Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems.  SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles.  A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.

Spectrum Healthcare Resources is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

EOE/AA/Disability/Vet