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About this job

Job ID: 3835

# Positions: 1

Posted Date: 8/27/2014

Category: Customer Service

Product Line: FCHP

Overview:
About Fallon Health:

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation's top health plans, and is the only health plan in Massachusetts to have been awarded "Excellent" Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit www.fallonhealth.org.

Position Overview:

Under the direction of the Market Research Manager, supports Fallon by making Welcome/Outreach calls to members and/or survey calls to members or providers. Handles confidential patient/member information. Uses strong verbal communication skills and demonstrates excellent telephone communication skills. Understands the importance of leaving a positive impression on any member with whom they come into contact. When necessary, assists member through the creation of formal research cases.

Responsibilities:
*Exhibits courtesy, compassion, empathy, and respect in all outbound communications with members and providers. Utilizes proper judgment in handling difficult or unusual calls.
*Responsible for learning and keeping current with Fallon products, policies and procedures.
*Responsible for documenting the results of all outbound calls using an electronic or written form.
*Makes Welcome/Outreach telephone calls to Fallon members providing product knowledge, customer assistance, and problem solving.
*Administers member telephone surveys. Working from a script, asks both open-ended and closed ended questions of members in order to capture information such as why the member joined Fallon, how satisfied the member is with Fallon and why the member left Fallon.
*Maintains the highest degree of member/patient confidentiality.
*Works both as a team member and as an individual depending on assigned project.
*Works on special projects and other tasks such as focus group recruitment and data entry as assigned by the Market Research Managers or executive staff.
*Assists Fallon members by creating formal research cases. When necessary, is responsible for properly documenting member issues and entering information into a specialized company database.

Qualifications:

Education: High School Diploma

Experience: Minimum of one year Customer Service experience in a call center environment, Computer skills. Bilingual in Spanish required.

Apply Here: http://www.Click2Apply.net/h6s2qrn

PI83348746