Alignment Health
Healthcare
SchedulingSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Scheduling Specialist at Alignment Health. Skills: Scheduling, Member outreach, Customer service, Problem-solving, Communication. Provide outreach and support to ensure eligible members have access to care.. Assist members in navigating clinical/patient programs.”
What You'll Achieve.
Ensure all eligible members have access to the care they deserve.; Achieve highest level of member satisfaction.; Support outcomes reporting in all systems/applications.; Ensure accuracy and attention to detail in member data entry.
Industry & Context.
Ability to deal with problems involving a few concrete variables in standardized situations.; Effective problem solving skills
Must be available to work full-time and over-time through the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar), Regularly required to talk or hear., Regularly required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or and reach with hands and arms., Frequently lifts and/or moves up to 10 pounds., Specific vision abilities required: close vision and the ability to adjust focus.
What They're Looking For.
Must Have
Minimum 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations., Ability to communicate positively, professionally and effectively with provide leadership, teach and collaborate with others., Effective written and oral communication ability to establish and maintain a constructive relationship with diverse members, management, employees and, Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals., Ability to write routine reports and correspondence., Ability to speak effectively before groups of customers or employees of the organization., Ability to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s., Ability to perform these operations using units of American money and weight measurement, volume, and distance., Ability to apply common sense understanding to carry out detailed, but un-involved written or oral instructions., Ability to deal with problems involving a few concrete variables in standardized situations., computer skills., typing 40+ words per minute., Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment., Must be available to work full-time and over-time through the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar)
Nice to Have
Experience in Clinical setting in managing provider schedules., Experience helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits., Call Center experience in welcome/onboarding, appointment scheduling, retention, sales, or other health care/health plan related and/or inbound call center experience that indicates a higher level of problem-solving such as escalation or resolution, College courses, Bilingual English/Spanish, or Vietnamese, Chinese (Mandarin), Korean
What You'll Do.
Provide outreach and support to ensure eligible members have access to care.
Assist members in navigating clinical/patient programs.
Schedule members for programs that best suit their needs.
Serve as a subject matter expert in clinical programs.
Conduct member outreach phone calls and receive inbound calls.
Collaborate with internal departments and external partners.
Identify members targeted for care gaps and campaigns.
Connect members to programs or services.
Analyze program availability and eligibility.
Perform real-time documentation and timely wrap-up.
Enter member demographics and information accurately.
Meet or exceed individual and team goals.
Submit activity reports.
Excel in customer service.
How You'll Work.
Team & Collaboration
Collaborates with our partners – including but not limited to other departments, Member Services, and Clinical Departments – to facilitate the member experience.; Provide leadership, teach and collaborate with others.
Communication Scope
Ability to communicate positively, professionally and effectively; Effective written and oral communication ability; Ability to speak effectively before groups of customers or employees of the organization
Full Job Description
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Scheduling Specialist provides outreach and support to ensure all our eligible members have access to the care they deserve around our available Clinical/Patient Programs. Assists in navigating our members through the different programs they may be eligible and assists in scheduling them for what best suits their needs. Navigates with our members every step of the way to ensure they are never alone in their healthcare journey. Utilizes excellent customer service measures and understand the meaningful contribution the team makes to our members’ healthcare outcomes. Job Duties/Responsibilities: 1\. Serves as a “subject matter expert” in the clinical programs that our members may be eligible for. This includes being knowledgeable in procedures, scheduling for Health Assessments, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries. 2\. Conducts member outreach phone calls and/or receiving inbound phone calls within the department’s goal timeframe; manage to the member’s communication preferences as possible, which may include time of day, channel, and language; utilize interpreter service as needed. 3\. Collaborates with our partners – including but not limited to other departments, Member Services, and Clinical Departments – to facilitate the member experience. 4\. Identifies me
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