Enrollment MSR (Mltc-Syracuse)

Nascentia Health Syracuse , NY 13201

Posted 5 months ago

The Enrollment Member Service Representative is responsible for processing initial referrals and reviewing patient information referred to Nascentia Options, LLC. Coordination and collaboration with Enrollment R.N. Specialists and external agencies.


Performance Standards and

Responsibilities:
  • Provides general program information to callers who can be prospective enrollees, families, caregivers, community liaisons, and professionals within the community.

  • Collects demographic information and complete Intake Inquiry form.

  • Creates referral profile in electronic medical record/database.

  • Creates electronic member chart with enrollment documents. Scan all appropriate enrollment material to the chart/database

  • Obtain necessary information from primary care physicians.

  • Responsible for processing all required enrollment files and information to Maximus.

  • Communicate required information to appropriate county department of social services.

  • Create welcome letters, member ID cards and coordinate mailing to members.

  • Responsible for tracking necessary member information to be sent to various agencies and departments.

  • Demonstrate effective interpersonal skills while demonstrating critical thinking and common sense resolution.

  • Meet routine deadlines and work schedules as well as timely and accurate completion of work.

  • All other duties as assigned

Requirements:

  • High School Diploma or equivalent required. College degree preferred.

  • Minimum of one year customer service experience required, preferably in a health care setting.

  • Previous experience in Enrollment, Claims Management, or Member Services preferred.

  • Excellent oral, verbal, and written communication skills

  • Exceptional customer service skills required.

  • Ability to organize and prioritize daily.

  • Accuracy and attention to details and follow through.

  • Ability to handle large volume of calls. Must be congenial on the phone.

  • PC skills including Microsoft Office and database management required.

  • Bilingual skills preferred.

Physical requirements:

  • speech, visual, and hearing ability sufficient to express and comprehend written and verbal communication
  • ability to sit 90 percent of the day

Compensation & Benefits:

Competitive Salary with:

  • 401K with generous Employer match

  • No rotating shifts

  • Medical, Dental, Vision plans

  • Tuition Reimbursement

  • Partially funded HSA

  • Short/Long term Disability

  • Employee Assistance Program ( EAP)

  • Much More!!

Nascentia Health is an Equal Opportunity Employer ( EOE)

Employment is contingent upon negative results of a pre-hire drug screen


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Enrollment MSR (Mltc-Syracuse)

Nascentia Health