Lifestyle Coach

Job Description

Job Description

Description:
As a Lifestyle Manager, you will be responsible for conducting risk assessments for patients enrolled in the Medicare program to validate their needs and lifestyle. You will play a key role in the service experience by providing professionalism, courtesy, and excellence.

Essential Functions:

• Communicate with members by phone to provide information about their respective health insurance plan services.
• Offer guidance, support, and educational services on non-clinical matters related to different plan coverages and promotions.
• Manage incoming calls and refer them to the appropriate resources based on the specific needs of the member.
• Document and record transactions, including details of inquiries and actions taken.
• Escalate unresolved customer complaints to the supervisor or designated departments for further investigation.
• Provide support on other Contact Center projects.
• Conduct telephone interviews (outbound calls) with members regarding services, satisfaction levels, and follow-up activities.
• Participate in training and development sessions.
• Ensure confidentiality and compliance with all applicable state and federal regulations for Health Call Centers, including HIPAA and internal policies for handling confidential information.
• Immediately notify the supervisor of any exposure to Protected Health Information.
• Comply with core and functional training as well as all procedures established by regulatory agencies, contractual requirements, and applicable certification standards (including but not limited to URAC).

Requirements:

• At least one (1) year of Customer Service experience.
• Completed high school diploma and/or college credits (preferred).
• Advanced knowledge of computer applications and/or Microsoft Office.
• Strong customer service orientation and commitment.
• Excellent verbal and written communication skills.
• Fast documentation and internet navigation skills.
• Availability for shifts (including holidays), Monday to Friday from 8:00 AM – 5:30 PM.

What are the benefits of joining our team as a Health Services Representative?

• On-the-job training, regulatory aspects, and health-related education.
• 24/7 telemedicine service.
• Free health and wellness programs for employees.
• Opportunities for growth and development.
• Contribute to the health and well-being of the community.

Job Type: Full-time or Part-time

Work Location: On-site job in Guaynabo or Mayagüez, PR

EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER (EEOC)

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