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.