Member Relations Coordinator
Regal Medical Group · Orange, California, US
Position Summary: This position will serve as a first point of contact for newly enrolled members. The individual will conduct outbound telephone calls to we...
Job description
Position Summary: This position will serve as a first point of contact for newly enrolled members. The individual will conduct outbound telephone calls to welcome new members, review Welcome Packet materials, and ensure knowledge of benefits and services available through our IPA/Medical Group. The individual will be responsible for assisting members with establishing a physician-patient relationship by coordinating their initial doctor appointment which may include transportation and interpreter services. The individual will ensure members continuity of care is transitioned by taking initiative to coordinate with provider offices and/or Utilization Management as needed. The individual will ensure all member service issues and complaints are handled and resolved to achieve member satisfaction and retention. Essential Duties and Responsibilities include the following: - Serve as the first point of contact for newly enrolled members. - Conducts set number of inbound and outbound calls per day based on team set goals. - Conducts outbound calls confirming RSVPs to our Member Orientation events and meets attendance goals for each event. - Effectively communicate benefits and services av...