Member Growth and Onboarding Coordinator
About The Position
We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Patient Continuity and Needs Advocate (PCNA) is responsible for supporting eligible patients and their families receive Medicaid and Federal resources that are adherent to State and Federal Policies. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Supports Medicaid enrollment; collects demographic documentation and financial data and initiates follow-up procedures when necessary. Identifies and shares, with patient and/or family member(s), opportunities to maximize medical benefits and, when necessary, arranges follow-up appointments to ensure appropriate guidance to health services and application timelines. Utilizes an Electronic Medical Records (EMR) system to gather and store patient information, respond to questions on behalf of the patient and appropriately and timely document patient issues and resolutions. Maintains assigned work queue of patient accounts. Completes relevant patient documentation in compliance with all regulatory agencies, including HIPAA. Performs other duties as assigned and modified at manager’s discretion. KNOWLEDGE, SKILLS AND ABILITIES: Fundamental knowledge and understanding of local, state and federal healthcare benefit services and plans Ability to build and maintain exceptional customer service relationships with healthcare services agencies, patients, providers and peers Dependable and time conscience Flexibility, agility, self-starter, comfortable with frequent changes and innovations Competent level business acuity In-depth knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods Understanding of member attribution, eligibility and the disenrollment process Demonstrated skill in customer service and service recovery Knowledge of and experience in working with insurance brokers or agents preferred Detail-oriented with proficiency in Salesforce Strong written and verbal communication skills Positive attitude and the ability to build trust with internal and external partners Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software Spoken and written fluency in English
Requirements
- Fundamental knowledge and understanding of local, state and federal healthcare benefit services and plans
- Ability to build and maintain exceptional customer service relationships with healthcare services agencies, patients, providers and peers
- Dependable and time conscience
- Flexibility, agility, self-starter, comfortable with frequent changes and innovations
- Competent level business acuity
- In-depth knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods
- Understanding of member attribution, eligibility and the disenrollment process
- Demonstrated skill in customer service and service recovery
- Detail-oriented with proficiency in Salesforce
- Strong written and verbal communication skills
- Positive attitude and the ability to build trust with internal and external partners
- Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software
- Spoken and written fluency in English
Nice To Haves
- Knowledge of and experience in working with insurance brokers or agents preferred
Responsibilities
- Supports Medicaid enrollment; collects demographic documentation and financial data and initiates follow-up procedures when necessary.
- Identifies and shares, with patient and/or family member(s), opportunities to maximize medical benefits and, when necessary, arranges follow-up appointments to ensure appropriate guidance to health services and application timelines.
- Utilizes an Electronic Medical Records (EMR) system to gather and store patient information, respond to questions on behalf of the patient and appropriately and timely document patient issues and resolutions.
- Maintains assigned work queue of patient accounts.
- Completes relevant patient documentation in compliance with all regulatory agencies, including HIPAA.
- Performs other duties as assigned and modified at manager’s discretion.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
