Referrals And Admissions Intake

HMSA Honolulu,HI

• Member Interaction and Inquiry Resolution
  • Greet members in a professional and courteous manner.
  • Resolve basic and routine program-related inquiries efficiently.
  • Screen and direct requests and telephone calls to the appropriate individuals or other departments to ensure they receive the appropriate services or
  • Provide information about available care management programs and assist members in enrolling or accessing resources tailored to their needs.
  • Collaborate with other Care Management Services team members to address complex or escalated concerns.
  • Identify opportunities to improve member satisfaction and report feedback to management.
• Program and Service Knowledge
  • Demonstrates comprehensive knowledge of the organization's programs and services.
  • Communicates service expectations accurately to members, promoting trust and transparency during interactions.
  • Attend department meetings and participate in ongoing training to stay informed about program updates and best practices.
• Data Management
  • Accurate collection, input, and updating of member-provided data into the appropriate databases is handled in a timely manner.
  • Ensure that all information is current and properly maintained for program needs.
  • Maintain and ensure all member information is current and properly managed to support program requirements.
• Facilitation of Communication.
  • Facilitates communication and processes requests among multi-disciplinary teams, providers, health plans, and members.
  • Follow up with members and providers as needed to ensure resolution of outstanding issues.
  • Serves as a central point of contact to ensure seamless coordination and efficient information flow.
• Administrative Support
  • Supports Care Management Services Program operations through proficient use of computer-based telephone skills, as needed, to meet operational demands.
  • Completes mailing projects from start to finish, maintaining tracking logs, and conducting information research to meet program requirements.
  • Performs general office tasks such as managing inter-office mail, overseeing document reproduction, and facilitating facsimile transmission, all while ensuring these responsibilities are carried out in a timely and organized manner to contribute to overall program efficiency.
  • Supports the onboarding process for new team members by providing necessary orientation materials and assisting with system access setup.
• Performs all other miscellaneous responsibilities and duties as assigned or directed

• GED or High School
• One and a half years of related work experience; or an equivalent combination of education and/or work.
• Effective verbal and written communication skills
• Good working knowledge of Microsoft Office applications.
• Job Type: Full-time