Outbound Outreach Specialist
We are seeking an experienced Outbound Outreach Specialist to support one of our PBM clients. This role is heavily phone-based and focused exclusively on outbound calls to provider offices to obtain additional clinical and administrative information required for medication review and authorization workflows. This position is ideal for candidates who are comfortable on the phone, detail-oriented, and experienced working in healthcare environments involving providers, insurance companies, or PBMs. Key Responsibilities: Make outbound calls only 10+ outbound calls per hour to physician and provider offices Contact providers to request and collect: o Additional clinical information o Diagnosis details o Medication information o Supporting documentation aligned with PBM guidelines Clearly explain outreach purpose and guide provider offices on required information Accurately document all call outcomes and details in internal systems Perform heavy data entry while maintaining accuracy and compliance Follow established call scripts, outreach guidelines, and training protocols Collaborate with internal teams to ensure timely and complete information capture Skills and Requirements: 1-5+ years of relevant experience in healthcare, PBM, insurance, or provider-facing roles Strong background in high-volume outbound phone work Experience communicating with: Physician offices Medical staff Insurance or PBM representatives Proven ability to manage heavy data entry and documentation Comfortable working in a fast-paced, metrics-driven environment Strong verbal communication, professionalism, and phone etiquette Basic computer proficiency and ability to navigate multiple systems - Previous work-from-home experience
We are seeking an experienced Outbound Outreach Specialist to support one of our PBM clients. This role is heavily phone-based and focused exclusively on outbound calls to provider offices to obtain additional clinical and administrative information required for medication review and authorization workflows. This position is ideal for candidates who are comfortable on the phone, detail-oriented, and experienced working in healthcare environments involving providers, insurance companies, or PBMs. Key Responsibilities: Make outbound calls only 10+ outbound calls per hour to physician and provider offices Contact providers to request and collect: o Additional clinical information o Diagnosis details o Medication information o Supporting documentation aligned with PBM guidelines Clearly explain outreach purpose and guide provider offices on required information Accurately document all call outcomes and details in internal systems Perform heavy data entry while maintaining accuracy and compliance Follow established call scripts, outreach guidelines, and training protocols Collaborate with internal teams to ensure timely and complete information capture Skills and Requirements: 1-5+ years of relevant experience in healthcare, PBM, insurance, or provider-facing roles Strong background in high-volume outbound phone work Experience communicating with: Physician offices Medical staff Insurance or PBM representatives Proven ability to manage heavy data entry and documentation Comfortable working in a fast-paced, metrics-driven environment Strong verbal communication, professionalism, and phone etiquette Basic computer proficiency and ability to navigate multiple systems - Previous work-from-home experience