Job Description

Awarded the Best Place to Work 2021, Blue Cross Blue Shield of Arizona helps to fulfill its mission of improving the quality of life of Arizonans by delivering a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

Internal Use Only: GEN 9-10

PURPOSE OF THE JOB 

This position performs activities related to closing member healthcare and quality gaps/deficits through outbound telephone member outreach, coordinating member appointments with their primary care provider’s office, and requesting contracted outbound call center or Home Assessment staff to engage in direct member intervention. 

QUALIFICATIONS 

REQUIRED QUALIFICATIONS 

Required Work Experience 

  • 1 year of general administrative, clerical, or customer service experience in a healthcare organization or a primary healthcare practitioner’s office 

Required Education 

  • High School diploma or GED in general field of study.  

Required Licenses 

  • N/A 

Required Certifications 

  • N/A 

PREFERRED QUALIFICATIONS 

Preferred Work Experience 

  •  N/A 

Preferred Education 

  • Education or training in the basics of medical terminology, medical record documentation, and common ICD, HCPCS, CPT codes 

Preferred Licenses 

  • N/A 

Preferred Certifications 

  • N/A 

 

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES 

  • Follows a standard outbound call script and places outbound calls to members 

  • Explains the importance of receiving an Annual Wellness Visit and/or physical examination from their primary care provider to members  

  • Informs members of healthcare gaps that should be addressed by visiting their primary care provider 

  • Provides other preventive medicine and educational information to members  

  • Coordinates member appointments for AWVs/physical examination through 3-way telephone communication (i.e., Member Outreach Technician, member, and primary care provider) 

  • Completes all daily outbound call assignments and meets all outbound call, quality improvement, and gap closure productivity standards for outreach activities 

  • Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards 

  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements. 

  • Perform all other duties as assigned. 

COMPETENCIES 

REQUIRED COMPETENCIES 

Required Job Skills 

  • Knowledge and experience in application of marketing techniques aimed at consumer populations 

  • Knowledge of reporting and information presentation 

  • Computer proficiency in a MS-Windows environment, including MS Word and Excel, and ability to learn organizational systems and software applications 

Required Professional Competencies 

  • Ability to effectively communicate with health care providers and staff, patients, and co-workers.  

  • Strong organizational skills  

  • Provides excellent customer service by consistently demonstrating the BCBSAZ core values 

Required Leadership Experience and Competencies 

  • N/A 

PREFERRED COMPETENCIES 

Preferred Job Skills 

  • Basic knowledge and understanding of primary care provider office practices, appointment setting, medical records management and billing processes    

  • Bilingual in English/Spanish 

Preferred Professional Competencies 

  • N/A 

Preferred Leadership Experience and Competencies 

  • N/A 

CORPORATE RESPONSIBILITIES 

 Comply with BCBSAZ corporate and departmental policies and procedures, including, but not limited to Code Blue, Compliance, HIPAA, Computer Responsibility, Accreditation Standards, Attendance, Staff Qualifications, and Quality Management Accountabilities. 

Our Commitment

BCBSAZ does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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