Remote Customer Care Specialist for Healthcare Advocacy

hace 8 horas


San Juan, San Juan, Puerto Rico BeneLynk A tiempo completo
Job Description

We are seeking a skilled Member Engagement Specialist to join our team at BeneLynk. This is an excellent opportunity for someone who is passionate about making a difference in people's lives.

About Us

BeneLynk is a social care company dedicated to improving the lives of individuals by addressing Social Determinants of Health (SDoH) barriers. We provide healthcare advocacy services to Medicare Advantage beneficiaries and are committed to excellence in all aspects of our operations.

Responsibilities
  1. We are responsible for conducting telephonic screening services to confirm the beneficiaries' Veteran status and assist with benefits sponsored by the Department of Veteran Affairs and other sources.
  2. Meet production/departmental goals by answering inbound calls and conducting telephonic outreach activities to review and assess Medicare Advantage plan member's eligibility for VA sponsored Veteran Support outreach campaign efforts.
  3. Review member's needs and provide assistance with general social programs.
  4. Meet daily, weekly, and monthly performance metric related to schedule adherence, telephone availability, working rate, and Key Performance Indicators (KPI).
  5. Meet quality standards by ensuring proper phone etiquette and adherence to scripts, have accurate and descriptive case documentation, and proper disposition of cases.
  6. Review and analyze incoming MA plan member correspondence and/or inquiries for the purposes of retrieving member charts from VA facilities.
  7. Conduct follow-up activities for processed correspondence and/or inquiries from BeneLynk Outreach initiatives.
  8. Maintain current knowledge of state and federal regulatory requirements to adhere to strict compliance of all aspects of BeneLynk's Outreach Operations.
Requirements
  • Demonstrated experience with direct client interaction and telephone sales experience.
  • Demonstrated application of persuasion and ability to engage individuals over the phone, data entry and related computer skills.
  • Excellent verbal and written communication skills; ability to communicate and empathize with elderly and disabled populations.
  • Bi-lingual (English & Spanish).
  • Able to work independently and as part of a team.
What We Offer
  • Competitive salary and benefits package.
  • Paid Time Off.
  • Business casual dress.


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