You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Responsible for retaining current membership by assisting members with the completion and processing of Government health program applications; responds to all inquiries regarding the application process from both new and existing members and strives to meet daily production metrics designed to achieve higher membership retention.Applicants for this job have the flexibility to work remote from home and preferably reside in NY or within the Eastern Standard Time zone.
- Provide member resolution by researching, analyzing, and documenting inquiries regarding program eligibility; answer application and service questions regarding the programs and services to maintain and attract membership; conduct follow-up calls reminding members to return recertification applications, and request missing documentation if warranted.
- Develop and maintain relationships with existing members by providing guidance and assistance through the recertification process; demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by the Plan; modify delivery skills accordingly to overcome objections and retain members; identify solutions to issues and concerns.
- Complete all required paperwork and documentation necessary to complete the application process; track and input actions taken during the recertification process to ensure all member accounts correctly reflect activities performed.
- Input, update, and create member information on databases to maintain customer accounts; utilize computer systems to perform administrative functions.
- Schedule: 9:30am-6:00pm EST after completion of training.
Education/Experience: High School Diploma required. Previous Customer Service experience. One to two years related experience required. Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet. Proficiency in one or more languages other than English. Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills. Customer Service: Skilled to communicate with all levels of management, internal and external customers. Ability to work well as a member of a team or alone. Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements. Bilingual in Chinese, Russian or Spanish strongly preferred.
Pay Range: $15.29 - $26.20 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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What We Do
Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.
