About The Position
We are looking for a detail oriented individual to join Medicare PCP Enrollment Validation Team. Plan Sponsor Service Consultants (PSSC) support PCP and CSNP processes. PSSC's are required to perform multi-system research, make outbound calls and process provider updates for new and existing members. Key responsibilities include provider validation and alignment to our Medicare members, as well as outreach to obtain Verification of Chronic Condition. The PSSC must be able to meet the demands of a high paced environment with tight turnaround times while maintaining quality metrics. Our team is member centric and strives to provide excellent customer service to our members. The PSSC will work collectively with teammates, leadership and other departments as needed in their role.
Requirements
- High School Diploma, GED or Equivalent
- Proficient in Outlook, MS Excel and Word
- Excellent Communication Skills
Nice To Haves
- 1-2 years of experience working with members and/or providers
- Basic healthcare background
- Previous knowledge of provider networks
- Outbound call experience
- Experience working in a team setting
Responsibilities
- Perform multi-system research
- Make outbound calls
- Process provider updates for new and existing members
- Provider validation and alignment to our Medicare members
- Outreach to obtain Verification of Chronic Condition
- Meet the demands of a high paced environment with tight turnaround times while maintaining quality metrics
- Provide excellent customer service to our members
- Work collectively with teammates, leadership and other departments as needed
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
