Bilingual Call Center Representative

🔥 2 minutes ago

⚜️ Louisiana, Maine, +11 more states – Remote

⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🗻 New Hampshire – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌾 North Dakota – Remote 🌪️ Oklahoma – Remote 🎸 Mississippi – Remote 🗿 South Dakota – Remote ⛷️ Utah – Remote 🦬 Wyoming – Remote

💵 $42.2k - $66k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📞 Call Center Representative

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Healthfirst

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1993

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.

📋 Description

• Handle inbound and outbound customer calls while adhering to internal service-level standards • Create and follow up on Long-Term Care leads and opportunities in Salesforce for up to 90 days • Create and follow up on Personal Care service requests for the Mainstream population in Salesforce for up to 30 days • Answer calls and complete outbound calls according to approved scripts • Search ePACEs for Medicaid eligibility, exclusion, and exemption codes • Search Marx (CMS) for Medicare eligibility, enrollments, and special elections • Achieve daily, weekly, and monthly growth goals • Handle calls to maximize productivity and operational efficiency • Connect consumers seeking personal care or long-term care services with the State broker for initial evaluation • Schedule field and tele-video conference appointments for SHP Intake Nurses, HF CompleteCare Specialists, and Intake Nurses in Salesforce • Schedule Entitlement Advocates appointments for prospective members with Medicaid coverage issues or restrictions • Schedule Clinical Assessors to complete Community Health Assessments for Mainstream/HARP members requesting Personal Care Services at home • Document incoming and outbound calls in Salesforce call tracking • Document outcomes in the pre-enrollment database system • Document special instructions in Salesforce • Coordinate fulfillment kits and brochures for prospective members • Troubleshoot and follow up on long-term care enrollment rejections • Work occasional weekends and additional hours before or after scheduled shifts as assigned • Master the Division’s impact on Healthfirst plans and members • Establish trust, demonstrate product knowledge and credibility, and maximize scheduled appointments to achieve goals • Perform additional duties as assigned

🎯 Requirements

• High school diploma or GED • Fluency in reading and speaking English and Spanish • Member / Customer Service experience • Availability to work an 8 ½ hour shift based on business needs, within stated operating hours • Occasional overtime • Capability to work in a remote environment with reliable internet connection • Tech savvy computer skills, including Microsoft Office Suites: Outlook, Excel, Word, PowerPoint • Organized, able to multitask, and detail oriented • Understanding of and sensitivity to cultural differences and community needs • Ability to work in a fast-paced, changing, high-stress environment while achieving quota expectations • Ability to communicate and engage with leaders via virtual platforms, including email and MS Teams • Preferred: healthcare industry experience • Preferred: experience with Medicare or Medicaid managed care plan products • Preferred: associate degree or higher from an accredited institution • Preferred: extensive inbound and outbound call center experience with telemarketing responsibilities in healthcare • Preferred: Healthfirst product knowledge • Preferred: experience engaging with frail adult or elderly populations • Preferred: understanding of integrated care • Preferred: experience in health insurance, home care, acute, sub-acute, long-term care, or managed long-term care • Preferred: experience managing member information or appointments in a shared network environment using paperless database modules • Preferred: experience operating in a multicultural work environment and community • Ability to maintain a calm, neutral disposition while managing many details in a distracting environment

🏖️ Benefits

• Medical, dental and vision coverage • Incentive and recognition programs • Life insurance • 401k contributions • Competitive compensation and benefits package