- Schedules Entitlement Advocates appointments for SHP and HF Complete Care prospective members with a Medicaid coverage issue or restriction.
- Schedules Clinical Assessors to complete Community Health Assessments for Mainstream/HARP members requesting Personal Care Services at home.
- Documents all incoming/outbound calls under call tracking in Salesforce
- Documents all outcomes in pre-enrollment database system.
- Documents all special instructions in Salesforce
- Coordinates the preparation of fulfillment kits / brochures to prospective members or those requesting addition information in a timely manner.
- Troubleshoots and follows up on LTC enrollment rejections.
- Handles other duties as assigned with the occasional need to work weekends, additional hours before or after shift scheduled.
- Engage in mastering the Divisions impact on all Healthfirst Plans and its members.
- Ability to create a positive impression during first contact with prospective members by setting the tone and being able to immediately demonstrate product knowledge and credibility with the goal of maximizing the number of scheduled appointments to achieve daily, weekly, and monthly goals. Persuasive and able to establish trust.
- Additional duties as assigned.
Minimum Qualifications
- High school diploma or GED.
- Fluency in reading and speaking English and additional language.
- Member / Customer Service experience.
- Availability to work for 8 ½ hours shift, based on business needs, within our hours of operations: Monday – Friday 8:00 AM – 8:00 PM and Saturdays 10:00 AM – 6:30 PM. 8:00 AM to 8:00 PM Monday -Sunday during open enrollment (October – March). Initial Training schedule may vary from permanent assigned schedule.
- Occasional overtime.
- Capability to work in a remote environment with reliable internet connection.
- Tech Savvy computer skills such as Microsoft Office Suites: Outlook, Excel, Word, PowerPoint
- Organized and multi-tasking capabilities and detail oriented.
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