Intake Care Senior Representative

Duties:
The Medicare Population Health Intake Navigator has responsibility to ensure customer satisfaction through operational delivery of the Case Management services through Intake or the Health Risk Assessment (HRA) team. The team has the responsibility to ensure customer satisfaction and program compliance through supporting case management staff and programs. Acts as liaison and collaborates with all matrix partners within the organization - Quality, Medical, Product, Systems, and Training, Sales, and Population Health Operations staff.
Potential activities that support case management will vary, but may include:
Supporting inbound calls through case management telephone queues
Creating and assigning referrals and overall management work ques in the case management platform, fax boxes, and email boxes
Administrative tasks to manage customer correspondence.
Coordination of care tasks to support transitions of care.
Potential activities that may occur during telephonic customer interaction will vary, but may include:
Completing telephonic HRA
Assisting with the scheduling of medical appointments
Connecting customers to case management and community resources
Addressing gaps in care and encouraging an annual face to face visit with their provider.
Educating customers on plan benefits
Routing customer referrals to appropriate care management team based on identified needs.
Escalating customer concerns or issues appropriately
This remote role is similar to Req# 34310984 but will be completing different tasks. Workers will be dealing with protected information so all candidates must have a quiet and private working environment free from distraction.

Education:
.
High school diploma, college degree preferred or equivalent managed care
2-3 years experience in managed care or related work in Health Services with emphasis on population management preferred.
1+ years experience with processes that involve telephone contact and process management preferred

Skills:
Requirements:
Possesses strong written and verbal communication skills with a focus on top- quality customer service and health care coordination.
Empathetic attitude with ability to offer emotional
Experience and knowledge of multiple aspects of the health care
Excellent listening skills
Helps customers identify problems or barriers and navigate health care
Passion for the proper care and well-being of customers
Proficient in computer application skills and navigation, including email (Outlook), spreadsheets (Excel), Word processing, and data input, including ability to utilize dual monitors.
Works well in a team approach with strong interpersonal skills
Ability to handle multiple tasks, set priorities and develop action Detail oriented.
Knowledge of regulatory requirements with emphasis on Medicare
.

City: El Paso

Schedule:
Start Date: 12/02/2024
End Date: 04/30/2025
Schedule Notes: Mon -Fri 8 to 5 ET or CT This is a remote role.
Hours Per Week: 40.00
Hours Per Day: 8.00
Days Per Week: 5.00