Premium Assist Specialist, Healthcare, Remote

Centauri Health Solutions, Inc; Dallas (TX); Remote; USD 80,000 - 100,000; Full time

Job summary

An established industry player in healthcare is seeking a compassionate Premium Assist Specialist to join their remote team. This role involves building relationships with health plan members and assisting them in navigating eligibility for benefits. You will play a crucial part in advocating for Medicare beneficiaries and ensuring they receive the support they need. The company values empathy and customer service, making it an ideal environment for someone passionate about helping others. With competitive pay and a comprehensive benefits package, this position offers a rewarding opportunity to make a difference in the lives of patients.

Benefits

Generous paid time off

Matching 401(k) program

Tuition reimbursement

Annual salary reviews

Comprehensive health plan

Volunteer activities on company time

Development opportunities

Qualifications

• 1+ years in a Call Center environment, inbound and outbound.
• Strong decision making skills and ability to work independently.
• Experience in healthcare or government benefits is a plus.

Responsibilities

• Conducts eligibility screening and telephonic outreach for members.
• Interviews patients to gather personal information for eligibility.
• Collaborates with government offices for application processes.

Skills

Bilingual (Spanish and English)

Customer Service

Medicare/Medicaid program experience

Strong communication skills

Attention to detail

Empathy

Decision making

Education

High School Diploma

Experience in healthcare or government benefits

Tools

MS Office (Outlook, Word, Excel, Teams)

Job description

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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 Summary

Premium Assist Specialists build relationships and work with health plan members and patients that are eager to learn more about Centauri's services and determine eligibility for benefits. PA Specialists interpret and clarify information such as eligibility requirements and application details, and also determine what additional support may be required. PA Specialists will initiate procedures to refer patient/member to other agencies for assistance as appropriate. The PA Specialist advocates and assists Medicare beneficiaries apply to and requalify for government assistance programs. The PA Specialist builds trusting relationships with members to provide critical application assistance. PA Specialists must be compassionate and understanding while providing patients and health plan members with the highest level of customer service.

Role Responsibilities

• Makes outbound and receives inbound calls providing detailed information about eligibility services and conducts eligibility screening
• Conducts telephonic outreach activities for members who need to apply or recertify and are potentially eligible for various Medicaid programs including the Medicare Savings Programs
• Collaborates with government offices to accurately complete the application and recertification process
• Secures documentation for Medicaid/MSP renewal applications if needed for members
• Interviews patients/members via phone to gather personal/sensitive information in order to determine eligibility for various programs
• Interprets and explains information such as eligibility requirements and application details
• Clarifies eligibility data with patient or member
• Compiles, records, and evaluates personal and financial data in order to verify completeness and accuracy
• Utilizes the computer system to accurately complete the screening for eligibility and disposition the account as required
• Initiates procedures to refer patient/member to other agencies for assistance as appropriate
• Interviews patients/members via phone to gather personal/sensitive information in order to determine eligibility for various programs
• Interprets and explains information such as eligibility requirements and application details
• Clarifies eligibility data with patient or member
• Compiles, records, and evaluates personal and financial data in order to verify completeness and accuracy
• Utilizes the computer system to accurately complete the screening for eligibility and disposition the account as required
• Monitors actions to ensure goals are met
• 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

• Bilingual preferred (Spanish and English); fully fluent reading, writing, speaking
• Medicare/Medicaid program experience, and experience with screening for Medicaid eligibility a strong plus
• 1+ years in a Call Center environment, inbound and outbound
• 1+ years experience working with call queues
• 2+ years Customer Service experience
• Empathy and desire to help others
• Strong decision making skills
• Ability to provide a private and quiet work environment, and work independently
• Strong attention to detail and follow-through skills
• Experience in healthcare or government benefits or agencies a plus
• Case management experience or related experience a plus
• Highly proficient in MS Office (Outlook, Word, Excel, Teams)
• Strong communication and customer service skills
• Ability to track/monitor/retrieve information on calls
  
  

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

• Job Function Medium Risk
• Pay Type Hourly
• Min Hiring Rate $18.00
• Max Hiring Rate $20.00
  
  

Apply Now

Required

Preferred

Job Industries

• Healthcare

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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