Member Services Community Engagement Representative - Bilingual Spanish

Req #:
2159

Job ID:
13684

Job Location:
New York, NY

Zip Code:
10040

Category:
Customer Service

Agency:
Elderplan

Status:
Regular Full-Time

Office:
Office

Salary:
$51,304.90 - $64,131.12 per year

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Why work for MJHS?:

When you work with us you will receive comprehensive and affordable health and financial benefits, in addition to generous paid vacation, personal and holiday time that you won't find at our competitors. Do you receive a paid day off for your birthday now? No? You will here! You will also receive the training, tuition assistance and career development you desire to help you achieve your career goals. You take care of our patients, residents, and health plan members, and we will take care of the rest!

Benefits include:

• Sign-on Bonuses OR Student Loan Assistance for clinical staff
• FREE Online RN to BSN and MSN degree programs!
• Tuition Reimbursement for all full and part-time staff
• Dependent Tuition Reimbursement for clinical staff!
• Generous paid time off
• Affordable medical, dental and vision coverage for employee and family members
• Two retirement plans ! 403(b) AND Employer Paid Pension
• Flexible spending
• And MORE!

MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)

Responsibilities:

Responds to member inquiries and requests concerning benefits, services, clinical coordination, claims and complaints within a community center environment to ensure high quality customer service to members. Researches and responds to member claim inquiries, performs required member outreach, conducts outbound call campaigns, and participates in health events.

Qualifications:

• High School Diploma or equivalent required. Associate’s/bachelor’s degree preferred.
• Bilingual Spanish required
• 5-7 years of experience in customer service/community relations in a healthcare environment.
• Prior experience in one or more of the following: Medicare, Medicaid, health insurance, geriatric population and or utilization/care management process is preferred.
• Experience in a call center or community center setting strongly preferred.
• Microsoft Office.
• Excellent verbal, communication, and active listening skills.
• Interdepartmental communication system and phone system.
• Ability to identify and resolve problems.
• Ability to work independently.
• Excellent time management, prioritization, and organizational skills.
• Demonstrates professionalism and is well presented.
• Proficient in systems, Market Prominence, Guiding Care, Symplr, InComm OTC, Salesforce, with Health Rules Payor issue analysis and problem solving preferred.