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Community Outreach  

Summary: Duties: Taking inbound calls from potential medicare members, verifying eligibility, providing benefit information, assisting with enrollments, scheduling appointments for field reps. Call center based positionResponsible for answering inbound/outbound calls as they relate to member retention. Help educate, assist in completion of, and encourage compliance with reapplication processes for the Medicaid program in each of the ten states supported by the Enrollment Growth Department. Support strategic plan for growth by focusing on retention and outbound call marketing efforts.

Essential Functions: May perform member outreach calls to members Reach Performance goal of at least 100 member saves per day. Provide members with contact information for their respective DHS office in the members state. Assist with answering incoming calls regarding Medicaid members in PEND status and those who have upcoming Re-determination renewal dates. Help members complete necessary paperwork related to either Medicaid eligibility renewal process. Assist Medicaid Members in contacting their social worker regarding eligibility issues and follow-up with members to ensure follow through, if allowed by the members respective state. Encourage, reinforce and help educate members on the Medicaid Re-determination application as needed. Be proficient in discussion and execution of protocols for conducting retention calls. Accurately and timely document, daily all member retention contacts in appropriate database. Logged entries are to be completed immediately following member contact.

Knowledge/Skills/Abilities: Computer literate (Microsoft office products) Strong communication and sales presentation skills and excellent customer service Must be a self-starter with strong creativity skills Ability to type 40 wpm Knowledge of Medicaid- Managed-Care rules and regulations Bilingual communication skills a must Previous call center experience preferred Required Education: Associates Degree or equivalent experience Required Experience: 2-4 years customer service or call center experience and strong related health care experience a plus Managed-Care, Medicaid experience A minimum of 2 or more years of experience within a customer service, call center environment. Previous Healthcare experience is a plus.




This exciting opportunity is available for hire immediately!!!!

Contact Email: resumes@newleafstaff.com
Phone: (800) 758-1427
Company: New Leaf Staffing
Job Status:  Full Time, Employee



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