Medicare Services Coordinator
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Location: Commerce, California
Schedule: Full Time / Hours between 8am & 4:30pm.
Pay: $23 - $26 - Depending on Experience
Job Type: Temporary Assignment
Job Summary: The Medicare Services Coordinator for senior members will provide member-centric services to newly enrolled members of senior plans to increase retention and engagement. The Medicare Services Coordinator is the point of contact for an in-depth orientation and services coordination in the first 45 days following enrollment including making welcome calls, explaining and providing coordination of the health plan benefits and services available; providing explanation of plan benefits, identifying service needs such as transportation to and from appointments and ensuring the member more easily accesses needed care with minimal barriers. This position will require coordination of services required by regulation such as Health Risk Assessment/Medicare Health Assessment scheduling, identification of problem areas or concerns, appropriate interventions/services to be arranged, any additional plan specific requirements and maintaining a comprehensive and progressive record of all coordination of activities including need for escalating problems or issues. Responsibilities include liaising with providers and staff responsible for coordinating follow up and ensuring systematic check-ins with the member during the onboarding process and MHA scheduling. This position will require providing warm hand-offs with assistance services and identifying opportunities to improve efficiencies and customer service. The Medicare Services Coordinator ensures the best member experience possible from beginning to end.
Work Environment: Work in office environment, climate controlled through central air conditioning
Required Skills and Abilities:
1. Knowledge of the health care industry, preferably managed care.
2. Knowledge of senior plan benefits and community senior services.
3. Ability to link members to and coordinate internal or external services identified.
4. Excellent customer services experience in a service environment.
5. Excellent functional and technical skills.
6. Ability to work with minimal supervision and meet work standards.
7. Demonstrates excellent verbal and written communications skills and interpersonal relationships.
8. Strong skills in listening to understand, compassion and problem resolution.
9. Ability to collaborate and facilitate interdisciplinary team communications.
10. Demonstrate flexibility and ability to problem solve; manage and escalate complex situations.
11. Strong computer literacy skills with Microsoft Office applications and data systems. 12. Knowledge of HIPAA Guidelines including the PHI privacy requirements.
13. Highly organized, able to set priorities and achieve results required.
14. Knowledge of basic analytics.
1. High School diploma or equivalent required.