Member Engagement Coordinator

Job Title
Member Engagement Coordinator
Job ID
27777609
Work Hybrid
Yes
Location
San Antonio, TX, 78228  Hybrid
Other Location
Description

Patient Conversion and Outreach

      Make outbound calls to patients referred by healthcare providers, educating them on THO's incontinence supply services and guiding them through the opt-in enrollment process.

      Handle high-volume inbound calls from patients, caregivers, and referral sources with urgency, professionalism, and a conversion-focused mindset.

      Confidently address patient objections and hesitations (whether related to cost, convenience, or familiarity) and pivot to solutions that move the patient toward enrollment.

      Meet or exceed opt-in conversion targets as defined by each project's scope and timeline; track personal conversion activity and adjust outreach approach to improve results.

      Manage a pipeline of leads and follow up consistently until each patient makes a decision.

 

Intake and Enrollment Administration

      Verify patient demographic information (delivery address, phone number, size, attending physician) and confirm payor source and eligibility.

      Collect clinical information needed for physician approval: monthly supply amounts, length of service, supporting diagnosis, NPI number.

      Send required paperwork to physician offices and follow up tenaciously to ensure timely return of all signed documentation.

      Log completed patient records, release items for delivery, or route for insurance authorization per payer specifications.

      Obtain initial insurance authorization as required.

 

Relationship Management and Communication

      Advise referral sources on referral status and maintain positive, ongoing relationships with healthcare partners and account managers.

      Identify alternative resources for patients THO is unable to serve, ensuring every interaction reflects the company's mission and values.

      Escalate customer service issues to management promptly and appropriately.

      Document all calls and patient interactions in accordance with company policies and procedures.

 

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