Outreach Specialist

$24 - $37/Yr

Elevance Health - New York, NY

Full-time - Entry Level

New York, NY

Insurance Carriers and Related Activities

About the position

Centers Health Care is a member of the Elevance Health family of companies, serving as a premier network of skilled nursing, rehabilitation, and senior care services. Our goal is to provide eligible members with access to quality healthcare so that they can continue to live healthy and productive lives within their communities. The Outreach Specialist is responsible for serving as the initial and main point of Field contact between the Company and current and potential members. This position is primarily field-based, supporting member access to care through home visits within New York City and surrounding boroughs.

Responsibilities

• Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.
• Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
• Supports and promotes State Sponsored Programs through participation in community events.
• Represents State Sponsored Programs in community collaborations.
• Supports member access to care through home visits, processing of reports, and distribution of collateral materials.
• Performs new member orientations.
• Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.
• Provides superior, professional, and courteous service to customers.
• Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations, ability to work professionally with the company's associates, community-based organizations, providers and plan members.

Requirements

• Requires HS Diploma or equivalent and a minimum of 1 year of customer service experience, or any combination of education and experience that would provide an equivalent background.

Nice-to-haves

• Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred.
• Strong written and verbal communication skills preferred.
• Proficiency in speaking languages in addition to English is preferred.
• Experience working with the geriatric population preferred.
• Proficiency in computer skills preferred.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution