This is a fully remote position, open to applicants in New York.

📋 Description

• Handle incoming calls from members regarding inquiries related to benefits, care coordination, program details, connecting with their care manager, and conducting screening assessments to identify risk factors that may require medical intervention.

• Accurately and contemporaneously document all calls in the specified PHI system.

• Oversee an assigned caseload of members that necessitates short-term care coordination and health navigation.

• Collaborate with the interdisciplinary care team to ensure timely communication of member needs and issues while monitoring member screenings to enhance quality and cost outcomes.

• Conduct outreach calls to members to verify that services are in place.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

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

• High School diploma or GED.

• Experience that demonstrates effective communication skills both verbally and in writing, with a strong command of grammar, spelling, and punctuation.

• Background in a fast-paced environment that involves managing multiple priorities at the same time.

• Bilingual in Spanish is strongly preferred.

• Associate’s Degree.

• Previous work experience in a call center, care management, or healthcare setting, or familiarity with medical terminology, Medicaid, and Child Health Plus benefit products.

• Exceptional telephone, organizational, and customer service skills.

• A team-oriented individual who is organized and detail-focused.