Member Engagement Specialist

New
E
Esperta HealthHealthcare
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details

Languages
Bilingual (English/Spanish)
Experience
Minimum of 2 years of experience
Required Skills
Customer serviceMicrosoft Office

Requirements

  • High school diploma or equivalent.
  • Minimum of 2 years of experience in healthcare outreach, patient engagement, customer service, care coordination, call center operations, or related fields.
  • Excellent verbal communication and active listening skills.
  • Ability to build rapport and establish trust over the phone.
  • Strong organizational skills and attention to detail.
  • Proficiency with CRM systems, electronic documentation, and Microsoft Office applications.
  • Ability to work independently in a remote environment.
  • Bilingual (English/Spanish).

Responsibilities

  • Conduct outbound phone outreach to health plan members identified through targeted member lists.
  • Build trust and rapport with patients and families through professional and compassionate communication.
  • Educate members on Esperta's wound care services and the benefits of early intervention.
  • Explain available treatment options and assist members in understanding the wound care journey.
  • Identify and address barriers to care, including transportation challenges, scheduling concerns, financial constraints, and adherence issues.
  • Facilitate referrals and appointments with Esperta clinical providers.
  • Coordinate with internal care teams to ensure smooth member onboarding and timely follow-up.
  • Document all outreach activities, member interactions, and outcomes accurately within company systems.
  • Escalate urgent clinical concerns to appropriate care team members according to established protocols.
  • Support efforts to re-engage members who have previously declined services or missed appointments.
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