Bilingual Call Center Rep (Relationship Coordinator) - Man\/Can

Healthfirst; United States; Remote; USD 41,000 - 63,000; Full time

Job summary

An established industry player is seeking a Relationship Coordinator to support their Medicare Advantage Plan and Managed Long Term Care services. This role involves engaging with prospective clients, educating them on enrollment processes, and ensuring efficient communication through a paperless call center environment. The ideal candidate will thrive in a fast-paced setting, possess exceptional customer service skills, and be adept at using various electronic databases and tools. Join a dynamic team that values diversity and offers a comprehensive benefits package, making a significant impact on the lives of those seeking personal care services.

Benefits

Medical Coverage

Dental Coverage

Vision Coverage

Life Insurance

401k Contributions

Incentive and Recognition Programs

Qualifications

• Experience in customer service and call center operations.
• Fluency in English and another language is essential.

Responsibilities

• Handle inbound and outbound calls to assist customers effectively.
• Document all calls and outcomes in Salesforce.

Skills

Customer Service

Fluency in English and another language

Organizational Skills

Multi-tasking

Tech-savvy

Communication Skills

Education

High School Diploma or GED

Associate Degree or Higher

Tools

Salesforce

MS Office 365

RightFax

SharePoint

Virtual Work Platforms (VPN)

Job description

The Relationship Coordinator solicits and provides information via telephonic efforts in support of Healthfirst's Medicare Advantage Plan, Complete Care (MAP), Managed Long Term Care Plan (MLTC) Senior Health Partners (SHP) and Mainstream/Health and Recovery Plan (HARP) population seeking PCA and/or CDPAS services. This position ensures that referral sources, prospective enrollees and/or family members are courteously, appropriately, and effectively educated on the Long-Term Care enrollment process through communication and follow-up and clearly articulate each product line to prospective clients. In addition, the Relationship Coordinator understands how Healthfirst goals relate to sales performance and meet established quotas.

Integrated Products is a paperless, call center work environment requiring daily hands-on administration of multiple electronic Patient Health Information (PHI) databases and security requirement tools such as encryption. These systems include, but are not limited to, Salesforce, RightFax, Virtual Work Platforms (using VPN), SharePoint Sites, TruCare and MS Office 365 software (such as Word and Outlook).

Duties and Responsibilities

• Handling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards.
• Creates and/or follows up for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce.
• Create and/or follows up for up to 30 days on Personal Care services requests for the Mainstream population in Salesforce.
• Answer all calls or complete outbound calls according to approved scripts.
• Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes.
• Searches in Marx (CMS) for Medicare eligibility, enrollments, and special elections.
• Achieves daily, weekly, and monthly growth goals.
• Handles all calls to maximize productivity and optimal operational efficiency.
• Connects consumers seeking personal care/long term care services with the State broker to complete the initial evaluation.
• Schedules all field and tele video conference appointments for SHP Intake Nurses in Salesforce.
• Schedules all field and tele video conference appointments for HF CompleteCare Specialist and Intake Nurses in Salesforce.
• 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 additional 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.
• Engages in mastering the Division's impact on all Healthfirst Plans and its members.

Minimum Qualifications

• High school diploma or GED.
• Fluency in reading and speaking English and an additional language.
• Member/Customer Service experience.
• Availability to work for an 8 ½ hour 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 a reliable internet connection.
• Tech-savvy computer skills such as Microsoft Office Suites: Outlook, Excel, Word, PowerPoint.
• Organized and multi-tasking capabilities and detail-oriented.
• Understanding of and sensitivity to cultural differences and needs of the community are essential.
• Adept at working in an environment with fast-paced changing priorities including high stress while achieving quota expectations.
• Available to communicate/engage with your leaders via Virtual platforms (emails, MS Teams, and others).

Preferred Qualifications

• Work experience within the healthcare industry.
• Experience with Medicare or Medicaid managed care plan products such as Family Health Plus (FHP), Eastern Benefits System (EBS), and/or Federal Employee Program (FEP). (Preferred)
• Associate degree or higher from an accredited institution.
• Extensive work experience including inbound and outbound call center with telemarketing responsibilities within a healthcare environment.
• Healthfirst product knowledge of Complete Care, Senior Health Partners (SHP), or managed long-term care.
• Prior experience engaging/communicating with the frail adult or elderly population.
• A solid understanding of the value of integrated care.
• Experience in health insurance, home care environment, acute, sub-acute, long-term care (LTC) setting, or managed-long term care (MLTCP).
• Experience managing member information or appointments in a shared network environment using paperless database modules.
• Adept at operating within a diverse and multi-cultural work environment and community of Members such as Spanish, Chinese, Southeast Asian, and others.
• Ability to maintain a calm, neutral disposition while managing many details in a distracting environment.

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability, or any other protected Federal, State/Province, or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to [e-mail] or calling 212-519-1798. In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range:

• Greater New York City Area (NY, NJ, CT residents): $47,403 - $62,400
• All Other Locations (within approved locations): $41,101 - $60,320

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as medical, dental, and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.