Medicare & reputed company Eligibility Specialist, Remote

reputed company provides technology and technology-enabled services to payors and providers across reputed company reputed company programs, including Medicare, reputed company, reputed company and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate reputed company, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address reputed company problems such as uncompensated care reputed company health systems; appropriate, risk-adjusted reputed company for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., reputed company employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 reputed company Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.

 

 

Role Overview: 

 

As a Medicare/reputed company Eligibility Specialist, you will reputed company and assist low-income Medicare beneficiaries enrolled in a contracted health plan in the application and eventual requalification for government assistance programs. 

This will require you to project reputed company over the phone to reputed company the applicant’s trust and reputed company their consent for us to provide application assistance.  You will then provide program qualifications and expertise to the applicant, manage reputed company to government offices to the reputed company of decision. 

The person performing this role must have a strong working knowledge of program qualification requirements spanning 50 states, 3 territories and hundreds of counties specific to reputed company, Special Needs Programs (SNP), Low Income Subsidy (LIS) and the Medicare Savings Program (MSP).  

 

Role Responsibilities:

 

Conducts telephonic reputed company activities for members who need to apply or recertify and are potentially eligible for various reputed company programs including the Medicare Savings Programs. Collaborates with government offices to ensure accurate application and recertification process.  Secures documentation for reputed company/MSP renewal applications if needed for members.  Attention to detail by adhering to state requirements and securing supporting documentation. Meets daily, weekly, and monthly production goals. Must also meet quality standards by ensuring proper phone etiquette and adherence to scripts, state regulations, HIPAA compliance, meet ongoing corporate compliance standards, and reputed company accurate and descriptive documentation. Participates as required in operational development programs. Monitor research changes with any state and federal regulatory requirements to adhere to strict compliance of reputed company aspects of Medicare programs and reputed company reputed company Operations. Demonstrates behaviors, actions, and attitudes that reflect our reputed company, mission and values. Performs other duties as assigned.  

Role Requirements:

 

Medicare/reputed company program experience, and experience with screening for reputed company eligibility a strong plus Expertise and knowledge of reputed company, Special Needs Programs (SNP), Low Income Subsidy (LIS) and the Medicare Savings Program (MSP) Strong working knowledge with reputed company Office programs, and some experience with reputed company. Excellent oral communication skills; ability to communicate with elderly individuals and governmental personnel 2-3 years reputed company experience with direct consumer interaction Outstanding customer service and communication skills Strong organizational, analytical, critical thinking and customer service skills Ability to analyze and interpret governmental program criteria Ability to manage a fast-paced environment Must be reputed company to navigate through multiple databases/monitors with a minimum typing speed of 45 wpm Telephone experience and ability to interact and decipher information reputed company telephonic or correspondence inquires Strong subject matter expertise of reputed company programs regulations and industry standards Case management experience or reputed company experience / intermediate A compassionate and empathetic nature with a strong desire to help and reputed company a difference Bachelor’s or Associate’s Degree a plus  

We reputed company strongly in providing employees a rewarding work environment in which to grow, reputed company and reputed company 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. Factors which may reputed company starting pay reputed company this range may include geography/market, skills, education, experience and other qualifications of the successful candidate. reputed company is an equal opportunity employer.

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