Remote, NY, USA
3 days ago
Bilingual Call Center Rep (Relationship Coordinator) - Man/Can
+ Working under the direction of the Relationship Manager, maneuvers multiple tasks independently with a fast paced proactive vs. reactive approach to changing priorities, call volume and telemarketing call/appointment goals. + Attention to managing many details and remaining focused in an environment with distractions. + Receives/screens all incoming SHP calls and handles Maximus "warm transfer calls". + Enters all referrals into pre-enrollment database system. + Transfers all incoming calls to appropriate staff, unit or department. + Assist callers requesting enrollment application status information by transferring to appropriate staff as needed. + Calls prospective SHP clients according to approved scripts within 24 hours. + Searches ePACEs for Medicaid eligibility, exclusion and exemption codes. + Documents all client calls /outcomes in pre-enrollment database system. + Achieves daily, weekly and monthly goals for outbound telemarketing calls and booking appointments. + Calls prospective HF Complete Care clients according to CMS approved scripts within 24 hours. + Searches ePACES for Medicaid/Medicare eligibility, exclusion and exemption codes. + Achieves daily, weekly and monthly goals for outbound telemarketing calls and booking appointments. + Schedules all field appointments for SHP Enrollment Specialists and Intake Nurses in Electronic Medical Records database (EMR). + Documents all special instructions in EMR schedule notes. + Documents all client replies in EMR 1st|5th Contact milestones. + Schedules field appointments for HF Complete Care Specialist and Intake Nurses in EMR within 48 hours referral receipt while maximizing joint visits (Specialist + Nurse). + Documents all special instructions in EMR schedule notes. + Documents all client replies to calls in EMR 1st|5th Contact milestones. + Contribute creative solutions and ownership of daily assignments for seamless communication and systematic completion of routine and special projects. + Follow protocols and use common sense to escalate situations to management and clinical staff appropriately. + Handle other duties as assigned with the occasional need to work weekends, additional hours before or after shift schedule and/or from other HF site locations. + Supporting Relationship Coordinator outbound callers as needed. + Engage in mastering the Divisions impact on HF/SHP and its Members. WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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