• Resolves members inquiries and complaints fairly and effectively according to the processes and procedures.
• Develop new strategies for customer retention activities.
• Respond to patient inquiries and resolve service complaints in a timely manner, collecting related data
• Conducts member satisfaction calls and acts as member advocate to resolve questions or concerns.
• Establishes effective working rapport with medical centers personnel (providers and administrative staff).
• Responds to questions, resolves issues and/or forwards to appropriate personnel in a timely manner to ensure member, referral, and employee satisfaction.
• Works extensively with eCW/EMR system to further investigate member services, documents, patient surveys.
• Contributes with ideas for process or efficiency improvements to the Manager of Member Retention.
• Communicates with patients to ensure questions and concerns area processed in a timely manner and effectively communicates with medical centers and corporate associates.
• Provides adequate notes and documentation within platform to ensure patient satisfaction.
• Demonstrates adherence to all company, state, and federal policies, laws, and regulations including HIPAA.
• Conducts telephone conversations in a polite manner and ensures accurate information is exchanged and member is satisfied.
• Reports errors, omissions, and incidents to the Supervisor of Patient Retention through documented reports.
• Analyze patient opinions and develop new techniques to ensure retention
• Explain to patients about the new benefits
• Welcome and educate new patients on all the Cano Health integrated care services
• Assist and care for new member for the first 3 months in order to avoid disenrollment
• Obtain new member referrals from new or existing members