Location: New York,NY, USA
Overview
Assesses eligibility of the Sales team's VNS Health Medicare referrals, processes and enter referrals into our referral management system(s), works as a VNS Health plan representative for NYMC to complete NYMC transfer calls, schedules internal nurse assessments and works with various departments to resolve any Medicaid-related issues. Works under general supervision.
Compensation:
$20.98 - $26.23 Hourly
What We Provide
* Referral bonus opportunities
* Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
* Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
* Employer-matched retirement saving funds
* Personal and financial wellness programs
* Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
* Generous tuition reimbursement for qualifying degrees
* Opportunities for professional growth and career advancement
* Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
* Provides education to consumers on our Medicare plans' eligibility requirements.
* Reviews and confirms potential enrollees' eligibility; collaborates with New York Medicaid Choice (NYMC) in scheduling NYIA's (New York Independent Assessment), including follow up as needed to obtain NYIA scheduled dates and outcomes.
* Promotes satisfactory enrollee relationships and responds to inquiries regarding eligibility and program related information.
* Works with our internal and external customers to ensure referrals are processed and followed up on as needed. Collaborates with clients to resolve pre-enrollment issues.
* Assigns referrals to VNS Health Sales agents in Salesforce for Medicare application/SOA follow-up.
* Provides outreach to potential enrollees who are referred via various referral methods. Reviews their eligibility and transfers them to NYMC, if appropriate. Offers Medicaid assistance, as needed.
* Works closely with VNS Health's Enrollment department to process daily submissions received internally for enrollment to NYMC and follows up appropriately when needed.
* Collaborates internally to ensure consumers are enrolled effectively and required documents are loaded into the member record system.
* Serves as a liaison between Sales, Clinical teams and other departments.
* Receives and responds to inbound calls to ensure the consumer's needs are understood and addressed to create a positive customer experience.
* Establishes effective customer-focused working relationships with members, physicians and providers of long-term care services.
* Participates in special projects and performs other duties as assigned.
Qualifications
Education:
* Associate's Degree in health, human services, other related discipline or the equivalent work experience required
Work Experience:
* Minimum two years experience in customer service or business operations required
* Minimum one year experience working in a Call Center setting required
* Proficient interpersonal, organizational, strong attention to detail, analytical and writing skills required
* Knowledge of Medicaid eligibility requirements required
* Strong understanding or experience with Salesforce preferred
* Proficiency with personal computers, including MS Excel, Word and Outlook required preferred