Care Specialist-Clinical Operations

Roles & Responsibilities

• May work in multiple products receiving inbound calls from members, physicians, clients and others to
• process requests per Sagility LLC policies and guidelines
• May work in multiple products conducting outbound call projects to members for enrollment purposes,
• customer satisfaction surveys, and other outbound projects
• Routes messages to appropriate nurse and makes pertinent notes in patient charts when necessary.
• Ensures that notes are clear and timely
• Uses applications according to policies and guidelines to ensure quality delivery of services.
• Maintains a mutually effective working relationship with callers, physician offices, clients, team
• members, supervisors, and internal customers
• Maintains confidentiality of all patients according to HIPAA standards.
• Collects and validates patient demographic information including insurance type and patient contact
• information
• Obtains pre-certification or authorization numbers if necessary for referral
• Regular, reliable attendance and timeliness
• Other duties as assigned
• The above statements are intended to indicate the general nature and level of work being performed by employees within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job. Employees in this job may perform other duties as assigned