Position Title: Medicare Services & Aging Coordinator
Location: Commerce, CA
Schedule: Full Time / Hours between 8am & 5:30pm.
Pay: $23 - $26 - Depending on Experience
Job Type: Temporary Assignment
Job Summary:The Medicare Services Coordinator will provide member-centric services to Medicare/Medi-Cal senior patients, including newly enrolled members of senior plans. Providing a high-touch problem resolution approach, the coordinator is responsible for incoming calls, outbound calls, and initiatives that increase problem resolution, engagement, and retention. The coordinator is responsible for screening patient needs, answering patient questions, scheduling, and documenting services. The Medicare Services Coordinator is the point of contact for an in-depth orientation and services coordination in the first 45 days following newly enrollee assignments 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 removing barriers for health care access. This position offers coordination of services required by regulation such as Health Risk Assessment/Medicare Health Assessment, identification of problem areas or concerns, appropriate interventions/services to be arranged, any additional plan specific requirements and maintaining a comprehensive and progressive record in EHR and CRM of all coordination 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 members as needed.
Required Skills and Abilities:
- Excellent and efficient customer/patient services experience in a service environment
- Knowledge of the health care industry, preferably managed care.
- Knowledge of senior plan benefits and community senior services
- Ability to link members to and coordinate internal or external services identified
Specifications / Experience:
- High School diploma or equivalent required.
- Bachelor's in social work (or related field) with senior plans and patient-centric experience, or Medical Assistant or LVN desirable.
- Minimum 3 years’ experience working in a healthcare customer service/care coordination environment; knowledge of plan benefits and regulations governing Medi-Cal, Commercial, Medicare, and other government and commercial programs. Minimum 3 years of experience in a managed health care environment, preferably IPA, HMO, or Health Plan, preferred, in addition to experience working with an ethnically diverse population.
- Bilingual English/Spanish required.
Benefits:
Medical, dental, and vision insurance, along with optional voluntary benefits (short-term disability, critical illness, accident plans)
401(k) retirement plan
Direct deposit
Continuing education opportunities and tuition discounts
Referral bonus program up to $750
If you meet the qualifications and are interested in advancing your career with a leading healthcare staffing organization, apply today and a recruiter will contact you promptly.
