Work from Home Health Survey Specialist – Hiring in Atlanta

We are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

What you’ll do:

  • Uses motivational interviewing and other consultative techniques to gather comprehensive information about a member’s medical, functional, cognitive, psychosocial, and mental health needs
  • Accountable to the highest level of compliance integrity
  • Champions for the member by connecting members with urgent needs to the appropriate Aetna team, including DSNP’s interdisciplinary care team and customer service
  • Initiates engagement with assigned members to introduce the program and drive active participation in completion of their Health Risk Assessment
  • Builds a trusting relationship with the member by engaging the member in meaningful and relevant conversation, prior to and during assessment
  • Effectively supports members during enrollment calls, appropriately managing difficult or emotional member situations, responding promptly to member needs, and demonstrating empathy and a sense of urgency when appropriate
  • Conducts triage, connecting members with appropriate care team personnel including care managers and customer service when needed
  • Accurately and consistently documents each call in the member’s electronic record, thoroughly completing required actions with a high level of detail to ensure we meet our compliance requirements
  • Protects the confidentiality of member information and adheres to company policies regarding privacy/ HIPAA
  • Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm
  • Determined to build strong relationships with peers and our DSNP members
  • Demonstrates an outgoing, enthusiastic, and caring presence over the telephone

What you should have:

  • At least 3 years of experience in health care, customer service, telemarketing and/or sales
  • Familiarity with basic medical terminology, health care, and the concepts of care management
  • Medicare/Medicaid/DSNP experience preferred
  • Experience with computers, including knowledge of Microsoft Word, Outlook, and Excel required
  • Strong organizational skills, including effective verbal and written communications skills required
  • Data entry and documentation within member records is strongly preferred
  • Flexibility with work schedule to meet business needs
  • Bilingual desired

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