Job Description

Job Title : Medicaid/Medicare Specialist ( Medicaid Service Coordinator )

Location : New York, NY 10004

Duration : 2-3 months

Shift Details : Hybrid 9-5 (Thursdays Mandatory)

Orientation is first full week

Job Description :

• Recertification/renewal of membership.
• Assist all line of business (Medicaid/Medicare/MLTC/CHP/EP) in retaining current qualified members by following a strategic daily work schedule that includes am and pm hours, field locations as well as weekends.
• This is designed to optimize telephone outreach with members due to recertify.
• Follow appropriate processes to meet and exceed recertification targets set by the department.
• Make the recertification process as easy and seamless as possible for our members.
• Assisting members with completion of recertification applications.
• Partner with different parts of the organization to understand any barriers to the member’s experience and work to resolve them appropriately.
• Maintaining daily Outreach and Renewal goals set through business needs to increase overall retention Enrollment and retention support.
• Assisting members with completion of all enrollment activities including but not limited to changing lines of business to ensure member is in the optimal plan, re-enrolling members due to administrative issues, premium payment etc.
• Assist members with PCP selection as well as locating providers and vendor within plan’s network.
• Providing end to end customer support to drive customer satisfaction and improve customer experience.
• Interfacing with internal and external stakeholders to ensure complete resolution.
• Communicating verbally and in writing with members for all necessary Member Retention activities.

Process improvements: Devising solutions in response to member dissatisfaction/ complaints/issues to support ongoing organizational improvement efforts, Support any ad hoc projects on process improvements, Report common trends identified during member outreach.

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