Outreach Representative Job Description
Outreach representative
provides unbiased assistance to Medicaid Providers with questions regarding Medicaid patient eligibility, medical claims statuses, and other program questions.
Outreach Representative Duties & Responsibilities
To write an effective outreach representative job description, begin by listing detailed duties, responsibilities and expectations. We have included outreach representative job description templates that you can modify and use.
Sample responsibilities for this position include:
Maintain ongoing knowledge of changes to Medicare and Medicaid regulations and their impact on daily operations
Adhere to the current CMS Marketing Guidelines
Portfolio Certification with UnitedHealthcare Medicare products
Assist potential members in the application process, adhering to all standards and requirements set forth in the SCO contract
Provide information and answers to all questions from potential members regarding benefits, rights and responsibilities, and plan operations
Meet and review monthly sales-related goals and objectives
Complete all required documents
Coordinate and relay information to the company's staff related to the pre-enrollment process
Employ lead generation and follow up according to the company's standards
Self-report any potential violations of federal, state or company regulations and guidelines
Outreach Representative Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Outreach Representative
List any licenses or certifications required by the position: AHIP
Education for Outreach Representative
Typically a job would require a certain level of education.
Employers hiring for the outreach representative job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Master's Degree in Business, Education, Marketing, Public Health, Communications, Economics, Health Administration, Administration, Healthcare Administration, Communication
Skills for Outreach Representative
Desired skills for outreach representative include:
CMS Marketing rules and regulations
Delaware Medicaid and the Medicaid LTSS benefit package
Community based organization
Gateway Health Medicaid and the Medicaid Assured benefit package
MS Office
Medicaid products and practices
Medicare
Social media
CMS
Desired experience for outreach representative includes:
Identify and organize community outreach activities to spread awareness of coverage option(s)
Collaboratively develop enrollment goals and/or enrollment referrals on a monthly basis
May be required to work a weekend day
These positions will include shifts which cover scoring hours from 5pm to 11pm Monday through Friday and 9am to 5pm on Saturday and Sunday
These positions will include shifts which cover scoring hours from5pm to 11pm each Monday through Friday and 9am to 5pm on Saturday and Sunday
These positions will include shifts which cover scoring hours from 8am to 5pm Monday through Friday and 9am to 5pm on Saturday
Outreach Representative Examples
1
Outreach Representative Job Description
Job Description Example
Our innovative and growing company is looking to fill the role of outreach representative. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for outreach representative
- Participate in community education and engagement activities throughout Virginia
- Develop network of community partners and maintain relationships with existing partners
- Communicate any challenges identified and report back to management for resolution
- Serve as a community resource
- Assess and evaluate member and/or provider engagement
- Deliver presentations to providers/members and stakeholders as needed
- Develop weekly/monthly scheduling of community outreach initiative
- Create and develop new ideas for community engagement
- Assist as needed with contact call to members
- Maintains consistent communications with providers, including the communication of policy changes and updates
Qualifications for outreach representative
- Maintains documentation of provider visits, provider communications (verbal and written), and any necessary follow-up activities and document into CRM
- Recruits providers for participation in Medi-Cal and other state healthcare programs
- Participates in local medical community organizations as public relations effort
- Must travel 75% of the time
- Bilingual (Spanish/English - verbal and written for both) for effective communication with patients, family members, and customers of all social and economic levels from a diverse cultural and ethnic population
- Must be a motivated, well-organized learn player
2
Outreach Representative Job Description
Job Description Example
Our company is growing rapidly and is looking for an outreach representative. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for outreach representative
- Review enrollment forms for accuracy and completeness
- Interfaces with and refer complaints and/or inquiries to the appropriate departments, agencies, advocates, and/or client representatives
- Meets the established processing guidelines, protocols and contract requirements related to complaint processing and the handling of PHI/PII
- Assists consumers in enrolling, de-enrolling, and transferring into health plans, when appropriate
- Answer phones, answering questions and directing calls
- Provide courteous and accurate information
- Transfer callers to their requested departments or persons
- Ability to project a friendly, positive and enthusiastic attitude
- Provide current, accurate, factual information and coach through the enrollment and registration process by phone
- Ability to listen intently, answer and route telephone calls
Qualifications for outreach representative
- Must be able to work independently, stay focused on results and task orientation
- Prior knowledge in public health promotion, perinatal services and marketing helpful
- Most desired experience will include hospital sales in the Market
- Knowledge of medical terms and procedures
- 4 years of human services experience
- Associate's degree from an accredited college or university, or equivalent experience
3
Outreach Representative Job Description
Job Description Example
Our growing company is looking to fill the role of outreach representative. To join our growing team, please review the list of responsibilities and qualifications.
Responsibilities for outreach representative
- Assist students by phone and email
- Scribe and route telephone messages using computerized system
- Schedule various types of appointments using computerized system
- Conduct call campaigns
- General clerical work and operation of associated equipment to include but not be limited to filing, sorting, routing, scanning, faxing, copying and laminating
- Training and certification may be required by particular departments and will be provided
- Provides information and assistance in the design and implementation of marketing plan(s) to increase referrals to the organization
- Designs and implements overall communication programs
- Builds and maintains customer-focused relationships with physicians and other healthcare professionals
- Meets with key stakeholders in key marketing areas such as cardiology, neurology, trauma
Qualifications for outreach representative
- Must be culturally sensitive and have excellent interpersonal, communication, and customer service skills
- Must maintain and respect confidential nature of information by complying with FERPA guidelines
- Previous office support experience preferred
- Ability to work with a variety of people, to include but not be limited to students, families, faculty, donors, staff
- Fiscal – prefer accounting or business students but students with any background in accounting or clerical work helpful
- If working in Financial Aid office, must be able to commit to 2 semesters in FA office
4
Outreach Representative Job Description
Job Description Example
Our company is growing rapidly and is looking to fill the role of outreach representative. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for outreach representative
- Works with the organization's communication designers to produce marketing items to promote services
- Demonstrate a high level of professionalism, excellence in customer service and community building, and the ability to display a positive and enthusiastic attitude
- Welcome guests, prospective students and continuing students to the Welcome Center and the Student Success Center and provide personalized assistance
- Provide current, accurate, and relevant information and coach through the enrollment and registration process
- Facilitate Get Started Sessions and campus tours as needed/when requested
- Per the implementation of the new onboarding model, assist the A & O staff with facilitation of Registration Labs during Orientation season
- Ensure that the Mount Antero lobby remains clean and that furniture placement contributes to a welcoming atmosphere
- Assist students with sign in procedure at the Student Success Center
- Serve as a representative in the multi-line Call Center responding to caller questions, providing courteous service and accurate information
- Participate in call campaigns as/when needed
Qualifications for outreach representative
- High school graduate or its equivalent preferred
- Working knowledge of computer keyboarding and basic applications such as Windows Office to include Outlook
- BSN, PHRN, or Paramedic preferred
- PA Driver’s License
- Requires critical thinking and decisive judgment and the ability to work independently
- 5 years of healthcare related experience as a RN or comparable clinical area required
5
Outreach Representative Job Description
Job Description Example
Our company is hiring for an outreach representative. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for outreach representative
- Utilize computer software such as including Word, Excel, and PowerPoint as needed
- Work collaboratively with supervisor, the A & O professional staff, student staff peers, and other partner departments/staff to meet student needs
- Demonstrate strong work ethic - dependable and reliable
- Maintain high level of communication with supervisors, A & O Director, Evening/Weekend Manager, and fellow student staff in order to resolve issues, find solutions, and maintain a positive, professional working environment
- Responsible for meeting or exceeding targeted growth, retention, and enrollment expectations within assigned service area
- Communicate effectively and verbally, via email and through presentations to centers of influence about the Dual Special Needs Plan?s features and benefits
- Actively source for ways to partner with community organizations and provide the resources UHC offers to those that qualify
- Develop and support community events in partnership with community based organizations to create opportunity for our sales agents to engage, educate and enroll dual eligibles in UnitedHealthcare's DSNP plan
- Manage and track leads and data pertaining to registered events and production
- Communicate effectively with agents regarding the management of scheduled events
Qualifications for outreach representative
- At least 2 year of Medical experience
- Must live within 15-50 miles radius of either Northridge(L.A county) or Riverside county
- Have home internet
- Minimum one year of experience in Higher Education or K-12 setting or working with high school students
- Depending on employment classification for either Work-Study or Hourly, must maintain all eligibility requirements, including the minimum required # of credits enrolled and Satisfactory Academic Progress
- Must maintain and respect confidential nature of student information