Provider DevelopmentMember Services Support Specialist
2 weeks ago
This dual role is part of both the Provider Development and Member Service teams and reports directly to the Manager of Member Services, with a non-direct reporting relationship to the Provider Development leadership.
THE PRIMARY ROLE FOCUSES ON TELEPHONE LEAD GENERATION FOR THE PROVIDER DEVELOPMENT TEAM AND SETTING MEETING APPOINTMENTS FOR THE PROVIDER SALES REPRESENTATIVES.
ESSENTIAL DUTIES
PROVIDER DEVELOPMENT
Cold call healthcare providers (physicians, facilities, ambulatory surgical centers, imaging facilities, etc) in targeted markets to determine interest; enter all prospects into the CRM
Internet research of healthcare providers in targeted markets and specialties; enter all prospects into the CRM
Enter and maintain Leads profile data in the CRM
Generate reports from the CRM as requested
Forward appropriate marketing materials to providers as requested
Any other duties/projects as requested/required by Provider Development Team
MEMBER SERVICES
Seek Single Case Agreements from qualified providers for specific requested patient
Evaluation of requested services
Achieve reasonable understanding of healthcare services and procedures in order to communicate effectively with providers, care navigators and members.
Assure completion of SCA paperwork; upload documents into AHN Portal
Assist with conversion of SCA providers to full-contract providers
As volume dictates, assist Member Services Team
Answer phone calls
Assist members and care navigators with obtaining services; accurately complete all paperwork and follow process through completion of service.
Work within the AHN Portal to upload documents, orders, maintain patient and provider demographics
Any other duties/projects as requested/required from Member Services
REQUIREMENTS
Minimum of 1-year experience working for a healthcare provider (physician, hospital, outpatient facility)
Licensed or certified medical professional preferred
Excellent computer skills with proficiency in Excel
High attention to detail
Exceptional written and verbal communication skills
Ability to work independently and problem solve
Ability to effectively and calmly manage patient concerns Ability to prioritize multiple tasks
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