Outbounder Representative Job in Columbia, South Carolina Us

Outbounder Representative

Job Description:

Position Summary:
The Outbounder Representative is responsible for providing high-quality customer service, analytical, and documentation support to exceed Care Improvement Plus' customer expectations

General Responsibilities:

  • Conducts direct outbound phone activity of Care Improvement Plus Special Needs Plan products and services to beneficiaries and providers in Plan service areas

  • Provides support to sales-related objectives via inbound/outbound customer calls; must be able to meet established call quotas

  • Ensures accurate and appropriate documentation support that translates into successful development and maintenance of Care Improvement Plus products and services

  • Meets CMS and state requirements and ensures Medicare beneficiaries understand the products and services they are receiving, including guiding beneficiaries through the enrollment process

  • Prepares reports setting forth progress, trends, and recommendations

  • Identifies problems, troubleshoots, and provides guidance to customers;

  • Adheres and suggests improvement to policies and procedures regarding problem identification, documentation, distribution, and correction to ensure immediate resolution

  • Serves as liaison with all other division operations and services to keep abreast of policy and procedural changes;

  • Maintains working knowledge of Medicare/Medicaid regulations, managed care industry, pertinent legislation, and the competitive environment

  • Other duties as assigned and required

    Required Education Experience:

  • High school diploma required or GED equivalent

  • Minimum 3 years customer service experience, preferably in Medicare/Medicaid healthcare arena

  • Possess solid customer service skills to educate Medicare/Medicaid beneficiaries

  • Strong and successful sales experience related to insurance products preferred

  • Computer skills consisting of experience with Windows-based applications and computerized lead management systems preferred

    Required Knowledge, Skills, and Abilities:

  • Must possess a Health, Life Insurance and/or all appropriate state licenses to perform job duties and functions within 90 days of employment

  • Excellent analytical, critical thinking and problem solving ability; comfortable with Medicare eligible client base; solid understanding of senior issues a must

  • Must possess exceptional customer service, communication

  • May be required to work weekends and evenings for special events

    We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.