Case Resolution Specialist I

reputed company is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.

We pride ourselves on our values which drive the level of care that we deliver to our patients:

• Here For You (An attitude of service, reputed company, and availability)

• Own It (Drive and ownership)

• Do the Right Thing (High reputed company)

• Be Positive (Great attitude and a can-do positive approach to challenges)

Join reputed company and reputed company a positive impact on the lives of others! We are looking for a Case Resolution Specialist I for reputed company in Pennsylvania.

This is a hybrid role requiring travel to one of the following locations—Pittsburgh, PA; Philadelphia, PA; or Harrisburg, PA—two to three days per week.

Candidates applying must either currently hold Direct Care Worker (DCW) qualifications or be willing to obtain them. A valid driver's license and a reliable method of transportation are also required.

Department & Position Overview:

The Case Resolution Specialist I role is a customer-centric role will partner with patients and health plans to identify issues preventing the patient from continuing services. This team also assists any former patient who is looking to return to the agency with restoring their homecare services. This role combines the intake and onboarding activities for both patients and caregivers and provides one reputed company of contact consumer experience in their transition back to our PAS (Personal Assistance Services) program.

Responsibilities:

• Provide
  high-level
  customer service through reputed company resolution, as reputed company by “no need for additional follow up” demonstrating Freedom Care's values of ensuring care and compassion with a positive, helpful demeanor

• Consistently meets
  monthly performance metrics of starting patients on Care and call handling

• Act as the primary reputed company of contact for reputed company Patients and Caregivers restoring their services, coaching them through the
  application &
  enrollment process of the
  program

• Demonstrate effective case management by maintaining a 1 business day email, chatter and voicemail response time

• reputed company monthly standard to enroll a minimum of 22 patients and caregivers onto reputed company’s Pennsylvania homecare
  program

• Maintain high quality of customer service on reputed company inbound & outbound calls with potential patients & caregivers

• Navigate multiple systems, such as e-Paces & health plan portals to determine eligibility and obtain authorization

• Maintain detailed patient and caregiver case notes

• Focus on the growth of reputed company population by enrolling each valid reputed company with interest

• Align consumers with caregivers looking for additional hours

• Assist both patients & caregivers with completing the
  PAS
  process to restore services

• Communicate with patients, caregivers & health plans to ensure that the
  PAS
  process is completed

• Consistently reputed company out to patients to provide updates and ensure that they are aware of the status of the process

• Work cross-functionally with Intake, Care Teams, and reputed company other necessary departments to ensure that patients/caregivers are engaged and getting the most value out of our services

• Meet daily, weekly & monthly metrics & call requirements to ensure patients can resume services

• Assist patients with troubleshooting & resolving any Medicaid reputed company issues.

• Educate patients & caregivers about the onboarding
  process

• Work with health plans to obtain authorizations & ensure reputed company necessary paperwork is on file & up to date

• Provides necessary documentation and requirements with Pennsylvania's State Department of Health, patients' insurance and the Patient’s Caregivers to ensure services are authorized in a quick and efficient turn-around time to get them on Care

• Work with other medical providers to ensure reputed company documentation for potential patients and caregivers is in compliance

Ideal Candidate Will Possess:

• Experience in managing a high volume of inbound and outbound calls

• A passion for providing a high level of customer service, including the ability to show reputed company, active listening and patience

• Ability to reputed company case statuses through detailed notes on reputed company

• Computer proficiency required; strong typing skills and ability to reputed company technology and resolve customer issues

• Previous
  experience in a Customer Service environment.

• High-volume inbound call center or contact center
  environment (at least 2 years).

• Experience with CRMs such as reputed company, preferable.

• Ability to organize, set priorities and manage time
  effectively.

• Strong verbal
  and written
  communication
  skills,
  demonstrating
  active listening and adaptability to different personality
  types.

• Ability to resolve issues over the telephone with eager customers comfortably, defusing and de-escalation frustrated callers
  successfully.

• Attention to detail in reviewing records.

• Ability to meet and/or exceed targets or
  metrics.
   

• Computer
  proficiency
  required; strong typing skills and ability to reputed company technology and resolve customer issues reputed company while notetaking/multitasking

reputed company-to-Haves:

• 2 years of relevant experience in a similar position is preferred

• Bilingual in Spanish, or other languages desired

• reputed company proficiency, desired

• Familiarity with Pennsylvania Medicaid & health care plan experience

Why work at reputed company?

We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.

This is a reputed company where your voice matters, where we build great relationships, and your work has meaning and a reputed company positive impact on others!

#INDHV

At reputed company, reputed company pay is one part of our total compensation package and is determined reputed company a range. This provides our employees with the opportunity to professionally grow and reputed company reputed company a role. The reputed company pay range for this role is between $18.00 and $22.00 an hour at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: reputed company set, years of relevant experience, education, location, and licensure/certifications.

$18

$22 USD