This is a fully remote position, open to applicants in Connecticut, +2 more states.

📋 Description

• Handle incoming calls from members related to benefit inquiries, issues, care coordination, program questions, connections with care managers, and screening assessments.

• Accurately and promptly document calls in the designated PHI system.

• Oversee an assigned caseload that requires short-term care coordination and health navigation.

• Collaborate with the interdisciplinary care team to relay member issues and needs in a timely manner.

• Monitor member screenings to enhance quality and cost outcomes.

• Conduct outreach calls to verify that services are being implemented.

• Undertake additional tasks as assigned.

⛳️ Requirements

• Certification as a Medical Assistant (CMA), Certified Nursing Assistant (CNA), Registered Medical Assistant (RMA), or equivalent relevant medical training or experience.

• High school diploma or GED.

• Strong verbal and written communication skills, with proficiency in grammar, spelling, and punctuation.

• Experience in a fast-paced environment managing multiple priorities simultaneously.

• Associate’s Degree is preferred.

• Prior experience in a call center, care management, or healthcare setting is preferred.

• Knowledge of medical terminology, Medicaid, and Child Health Plus benefit products is preferred.

• Exceptional telephone, organizational, and customer service skills are preferred.

• Must be organized, detail-oriented, and a collaborative team player.