Remote Bilingual Health Plan Concierge

Healthfirst

New York (NY)

On-site

USD 42,000 - 66,000

Full time

14 days+
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Benefits offered by this job

Medical, dental and vision coverage
Incentive and recognition programs
Life insurance
401k contributions

Job summary

Healthfirst Relationship Coordinator supports Medicare Advantage and MLTC programs by educating referral sources and prospective enrollees. The role requires clear product knowledge and handling multiple PHI systems in a paperless call center.

You'll schedule appointments, track leads in Salesforce, and collaborate with field staff to meet daily and monthly goals while maintaining strong customer service and cultural sensitivity.

Qualifications

  • High school diploma or GED.
  • Fluency in reading and speaking English and an additional language.
  • Member / Customer Service experience.
  • 8.5 hour shift availability within listed hours.
  • Capability to work in a remote environment with reliable internet.
  • Tech Savvy with Microsoft Office (Outlook, Excel, Word).
  • Organized with strong multitasking and attention to detail.
  • Understanding of cultural differences and needs of the community.
  • Ability to handle fast-paced priorities while meeting quotas.
  • Experience communicating with leaders via virtual platforms.

Responsibilities

  • Handle inbound/outbound calls per SLAs and educate callers.
  • Create/follow up LTC Leads in Salesforce for up to 90 days.
  • Create/follow up Personal Care requests for the Mainstream population.
  • Respond to calls per approved scripts and schedules in Salesforce.
  • Search Medicaid eligibility in ePACEs and CMS eligibility in Marx.
  • Achieve daily, weekly, monthly growth goals and quotas.
  • Coordinate with State broker for initial evaluations.
  • Schedule SHP Intake Nurse and HF/CompleteCare appointments in Salesforce.
  • Document calls, outcomes, and special instructions in Salesforce.
  • Coordinate fulfillment kits and materials for prospective members.

Skills

Customer service
Clear communication
Remote work capability
Multitasking
Cultural sensitivity
Virtual platforms (MS Teams)
Quota-oriented
English proficiency

Education

Associate degree or higher

Job description

Healthfirst Relationship Coordinator supports Medicare Advantage and MLTC programs by educating referral sources and prospective enrollees. The role requires clear product knowledge and handling multiple PHI systems in a paperless call center.

You'll schedule appointments, track leads in Salesforce, and collaborate with field staff to meet daily and monthly goals while maintaining strong customer service and cultural sensitivity.

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