/Your Talent. Our Vision./At Anthem Blue Cross , a proud member of the Anthem, Inc. family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care . This is an exceptional opportunity to do innovative work that means more to you and those we serve.
*/This position is located on-site in the Fresno, CA office./*
Serves as the initial and main point of Field contact between the Company and the current and potential members.
Primary duties may include, but are not limited to:
* Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.
* Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
* Supports and promotes Medicaid programs through participation in community events.
* Represents Medicaid programs in community collaborations.
* Supports member access to care through home visits, processing of reports, and distribution of collateral materials.
* Performs new member orientations.
* Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.
* Participates in promotional activities.
* Provides superior, professional, and courteous service to customers.
* Organizes daily work without significant guidance.
* Collaborates with team members to provide superior customer services.
* Supports Medicaid Health Management Programs.
* Conducts research to assist customers with inquiries or issues.
* Actively identifies and pursues opportunities for team involvement.
* Requires a High School Diploma and 1 year of customer service experience or any combination of education and experience that would provide an equivalent background.
* Must have an understanding of the basic principles of managed care and Medicaid programs.
* Must be able to comprehend the various cultural and linguistic needs of the Medicaid population.
* Requires knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations.
* Must be able to work professionally with Anthem, Inc. associates, community-based organizations, providers and plan members.
* Must have excellent customer service, telephone and persuasion skills.
* Must have excellent communication skills (written and verbal) and interpersonal skills.
* Requires strong PC skills (Word, Excel, Outlook).
* Must have strong organizational and time management skills.
/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./
**Job** *Customer Service*
**Title:** *Outreach Specialist - Fresno, CA - 110176SY*
**Location:** *CA-Fresno*
**Requisition ID:** *110176*