Personal Care Connector in Philadelphia, PA at Integrated Resources, Inc

Date Posted: 4/13/2021

Job Snapshot

  • Employee Type:
    Full-Time
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    4/13/2021

Job Description

Duties:
The Personal Care Connector (PCC) is a high-touch, extremely effective service specialist, responsible for supporting the daily operations of Medicare Member Services (Personal Service Program), integrated care management, and utilization management program interventions. The PCC performs in a contact center environment, effectively handling calls from Members, Providers and other areas, internal and external to the company. The PCC handles daily routine calls from Members & Providers in accordance with metric and performance requirements, identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources.

Education:

Skills:
One to three years - Working knowledge of Medicare & Medicaid Required - (2-4 years preferred)
1. Effective oral and written communication skills
2. Ability to document case notes while speaking on the phone with customers
3. Excellent customer service and interpersonal skills on telephone and in person
5. Act as interface and facilitator between members and provider offices
6.High School/GED
7. Professionally handle incoming inquiries from customers regarding benefit eligibility or customer issues.
8. Effective telephone skills to handle in-bound calls for triage and resolution