Highlights
Contact provider offices to encourage ongoing education and dialogue on data management best practices to service member/patient needs and to attend scheduled orientation sessions and other educational and outreach activities. Responsibilities: Makes outbound validation calls to providers in order to assure of demographic practitioner detail for each practice location for all client networks.
Numbers & Facts
| Location | Hopewell, NJ |
| Industry | Management Consulting Services |
| Salary | $17.24–$19.31 Per Hour |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | https://www.iconma.com/ |
Description
Our client, a Health Insurance company, is looking for a Network Outreach Specialist for their Hopewell, NJ location.
Responsibilities:
Requirements:
Why Should You Apply?
Responsibilities:
- Makes outbound validation calls to providers in order to assure of demographic practitioner detail for each practice location for all client networks.
- Contacts members regarding preventive health activities.
- Receives inbound services calls and provide accurate complete information in response to provider inquiries, complaints and problems within a timely fashion.
- Contact provider offices to encourage ongoing education and dialogue on data management best practices to service member/patient needs and to attend scheduled orientation sessions and other educational and outreach activities.
- Conducts provider surveys and assessments as applicable.
- Act as liaison with providers, members and outside community resources.
- Handle PCP/PCD changes for members.
- Verification of PCP/PCD and member eligibility with Providers.
- Maintain call documentation in databases with relevant information regarding special outreach projects in accordance with departmental focus and objectives.
- Assist provider offices with issues associated to credentialing, recredentialing, claims and provider data maintenance by providing guidance on how to proceed with the process.
Requirements:
- High School Diploma/GED required.
- Requires a minimum of 3 years of experience in customer service, telephone sales preferably in a Managed Care environment.
- Some experience with provider practices, physicians and/or office managers in a healthcare, group practice setting.
- Prefers knowledge of client products and services
- Requires knowledge of health insurance industry
- Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes
- Should be knowledgeable in the use of intranet and internet applications.
- Requires excellent oral and written communication skills.
- Requires strong interpersonal and organization skills.
- Requires ability to resolve problems.
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Benefits
401K, Employee Referral Program, Life Insurance
About Company
ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
- Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
- Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
- Founded in 2000
- 2000+ Employees
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.