Wachovia Layoffs, New Healthcare Opportunities in San Antonio

[jhartxlh]

XLHealth is hiring for customer service related openings in San Antonio.....

What We Do
XLHealth provides chronically ill patients and physicians with the disease management services and support they need to maintain better health and a higher quality of life. We provide regular face-to-face interactions with patients between office visits, data collection and analysis services, and customized preventive care planning to supplement physician care for optimal health management.

We are looking for 15 Member Services/Outreach Representatives immediately, more openings coming soon!

Position Summary:
Responsible for providing high-quality customer service, analytical, and documentation support to exceed Care Improvement Plus’ customer expectations

General Responsibilities:
• Conducts direct outbound phone activity of Care Improvement Plus Special Needs Plan products and services to beneficiaries and providers in Plan service areas
• Provides support to sales-related objectives via inbound/outbound customer calls; must be able to meet established call quotas
• Ensures accurate and appropriate documentation support that translates into successful development and maintenance of Care Improvement Plus products and services
• Meets CMS and state requirements and ensures Medicare beneficiaries understand the products and services they are receiving, including guiding beneficiaries through the enrollment process
• Prepares reports setting forth progress, trends, and recommendations
• Identifies problems, troubleshoots, and provides guidance to customers; • Adheres and suggests improvement to policies and procedures regarding problem identification, documentation, distribution, and correction to ensure immediate resolution
• Serves as liaison with all other division operations and services to keep abreast of policy and procedural changes;
• Maintains working knowledge of Medicare/Medicaid regulations, managed care industry, pertinent legislation, and the competitive environment


Health plan, health insurance, managed care experience and/or experience in Medicaid/Medicare a plus!!!

Apply at www.xlhealth.com/jobs

EOE/AA