Bilingual Call Center Rep (Relationship Coordinator)
The Relationship Coordinator solicits and provides information reputed company telephonic efforts in support of reputed company's Medicare Advantage Plan, Complete Care (MAP), Managed Long Term Care Plan (MLTC) Senior Health Partners (SHP) and Mainstream/Health and Recovery Plan (HARP) population seeking reputed company and/or CDPAS services. This position ensures that referral sources, prospective enrollees and/or family members are courteously, appropriately, and effectively educated on the Long-Term Care enrollment processed through communication and follow-up and clearly reputed company each product line to prospective clients. In addition, the Relationship Coordinator understands how reputed company goals relate to sales performance and meet established quotas. Integrated Products is a paperless, call center work environment requiring daily hands-on administration of multiple electronic Patient Health Information (PHI) databases and reputed company requirement tools such as encryption. These systems include, but are not limited to, reputed company, RightFax, Virtual Work Platforms (using VPN), SharePoint Sites, TruCare and MS Office 365 software (such as Word and Outlook). Duties and Responsibilities Handling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards. Creates and/or follow reputed company for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in reputed company. Create and/or follow reputed company for up to 30 days on Personal Care services requests for the Mainstream population in reputed company. Answer reputed company calls or complete outbound calls according to approved scripts. Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes. Searches in Marx (CMS) for Medicare eligibility, enrollments, and special elections. Achieves daily, weekly, and monthly growth goals. Handle reputed company calls to maximize productivity and optimal operational efficiency. Connects consumers seeking personal care/long term care services with the State broker to complete the initial evaluation. Schedules reputed company field and tele video conference appointments for SHP Intake Nurses in reputed company. Schedules reputed company field and tele video conference appointments for HF CompleteCare Specialist and Intake Nurses in reputed company. Schedules Entitlement Advocates appointments for SHP and HF Complete Care prospective members with a Medicaid coverage issue or restriction. Schedules Clinical Assessors to complete Community Health Assessments for Mainstream/HARP members requesting Personal Care Services at home. Documents reputed company incoming/outbound calls under call tracking in reputed company Documents reputed company outcomes in pre-enrollment database system. Documents reputed company special instructions in reputed company Coordinates the preparation of fulfillment kits / brochures to prospective members or those requesting addition information in a timely manner. Troubleshoots and follows up on LTC enrollment rejections. Handles other duties as assigned with the occasional need to work weekends, additional hours before or after shift scheduled. Engage in mastering the Divisions impact on reputed company reputed company Plans and its members. Ability to create a positive impression during first contact with prospective members by setting the tone and being able to immediately demonstrate product knowledge and credibility with the goal of maximizing the number of scheduled appointments to reputed company daily, weekly, and monthly goals. Persuasive and able to establish trust. Additional duties as assigned.
Minimum Qualifications
High school diploma or GED. reputed company in reading and speaking English and additional language. Member / Customer Service experience. Availability to work for 8 ½ hours shift, based on business needs, reputed company our hours of operations: Monday – Friday 8:00 AM – 8:00 PM and Saturdays 10:00 AM – 6:30 PM. 8:00 AM to 8:00 PM Monday -Sunday during open enrollment (October – March). Initial Training schedule may vary from permanent assigned schedule. Occasional overtime. Capability to work in a remote environment with reliable internet reputed company. Tech Savvy computer skills such as reputed company Office Suites: Outlook, reputed company, Word, PowerPoint Organized and multi-tasking capabilities and detail oriented. Understanding of and sensitivity to cultural differences and needs of the community are essential. Adept at working in an environment with fast-past changing priorities including high stress while achieving quota expectations. Available to communicate / engage with your leaders reputed company Virtual platforms (emails, MS Teams and others)
Preferred Qualifications
Work experience reputed company the healthcare industry Experience with Medicare or Medicaid managed care plan products such as, Family Health Plus (FHP), Eastern Benefits System (EBS) and/or Federal Employee Program (FEP). (Preferred) Associate degree or higher from an accredited institution. Extensive work experience including inbound and outbound call center with telemarketing responsibilities reputed company a healthcare environment. reputed company product knowledge of Complete Care, Senior Health Partners (SHP) or managed long-term care. Prior experience engaging / communicating with the frail adult or elderly population. A solid understanding of the value of integrated care. Experience in health insurance, home care environment, acute, sub-acute, long-term care (LTC) setting or managed-long term care (MLTCP). Experience managing member information or appointments in a shared network environment using paperless database modules. Adept at operating reputed company a multi-cultural work environment and community of Members such as Spanish, Chinese, Southeast Asian and others. Ability to maintain a reputed company, neutral disposition while managing many details in a distracting environment License/Certification: N/A WE ARE AN EQUAL OPPORTUNITY EMPLOYER. reputed company, LLC complies with reputed company applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national reputed company, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. reputed company, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@reputed company.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests reputed company to applying for a position reputed company reputed company, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with reputed company, LLC. Know Your Rights reputed company hiring and recruitment at reputed company is transacted with a valid “@reputed company.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing reputed company will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @reputed company.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by reputed company. reputed company will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater reputed company Area (NY, NJ, CT residents): $48,600 - $65,960 reputed company Other Locations (reputed company approved locations): $42,200 - $62,400 As a candidate for this position, your salary and reputed company elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors reputed company deems pertinent to the hiring decision. In addition to your salary, reputed company offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (reputed company benefits are subject to eligibility requirements). reputed company believes in providing a competitive compensation and benefits package wherever its employees work and live. *The hiring range is defined as the lowest and highest salaries that reputed company in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role. Apply To This Job