Centauri Health Solutions thoreau , NM 87375
Posted 2 months ago
Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500 list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.
Role Overview:
Join our award-winning health care services firm as a Social Services Specialist/Healthcare Customer Service Representative, working with health plan members and assisting them with needs relating to benefits and various social services. The Social Services Specialist/Healthcare Customer Service Representative possesses at least 2 years of customer service experience along with strong interpersonal skills and a desire to learn. Prior experience in assisting health plan members access various social services, but extensive training will be provided. We offer a vibrant, positive team culture with a focus on customer service and professional growth. We make a difference in the lives of our customers, our community, and our associates. In fact, our service vision is "Come from a place of kindness in every interaction." If that aligns with your personal values, and your qualifications meet our requirements, we would like to talk!
Role Responsibilities:
Make outbound and receive inbound calls with the intent of promoting company services
Interview patients/members via phone to gather personal/sensitive information in order to determine eligibility for various government programs
Respond to calls from client's members or patients requesting assistance with determining eligibility for benefits or community social services
Engage members in standardized assessment to identify needs and eligibility for resources related to social determinates of health.
Research, using identified database(s), benefits/community resources available to meet specific person's needs
Provide options of resources to member and with members input, assesses which resource(s) will be accessible to member.
Validates member's understanding and recording of information provided.
Assist the member/patient in accessing identified resources which may include a warm transfer to the identified agency.
Interpret and explain information such as eligibility requirements and application details
Connect with New York City members, follow established member triage guidelines and warm transfers member and member information to local social service agencies and/or NYC Social Services team as needed
Document all member contact in Centauri Health Solutions database.
Compile, record, and evaluate personal and financial data to determine eligibility
Understand and agree to role-specific information security access and responsibilities
Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
Read, understand, and agree to security policies and complete all annual security and compliance training
Role Requirements:
2 years of experience in a customer service/call center environment
Must be fluent in Spanish and English (speak, read, write)
Some knowledge of social services a strong plus
Strong interpersonal and communication skills
Ability to place and receive calls via computer interface
Ability to provide professional customer service
Self-motivated and driven to succeed with a proactive work approach and solution focused attitude
Strong computer and data entry skills
Attention to detail
Excellent critical thinking skills
Ability to work independently
Associate degree preferred
We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company's plan.
Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.
Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.
This position is bonus eligible in accordance with the terms of the Company's plan.
Other details
Pay Type Hourly
Min Hiring Rate $15.00
Max Hiring Rate $22.30
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Centauri Health Solutions