CASY-MSCCN Jobs

Duties & Responsibilities:

• Supervise Retention Advocates- This includes observing staff in the field (travel within NYC, Westchester and Nassau counties) and conducting customer phone audits to ensure all activities are completed in accordance with Company protocols and State regulations

• Coordinate a synchronized workflow while maintaining the integrity of member confidential information, as well as proprietary business information in collaboration with staff in Marketing, Relationship Coordinators, Growth Team, and Referral Sources

• Track the Medicaid/Medicare/Medicare Savings Program (MSP) Application process and outcomes, to meet department enrollment conversion goals

• Address patterns of appointments outcomes: Not interested, re-scheduled or cancelled members

• Conduct monthly audits established by yearly Goals in the areas of Medicaid, Medicare and Customer Service surveys, tracking of all applications/documents

• Directs the Entitlement process by explaining features to callers, entering activities into proprietary Employee Medical Records system, responding to questions from enrollees/significant others and resolving daily routine problems including complicated cases

• Prepares monthly summary reports for Manager/Director/VP Operations to show status of Medicaid/Medicare/MSP applications and Conversions

• Keeps up to date on Medicaid/Medicare/HMO laws and changes. Shares all updated information with Team members as appropriate

• Contribute to continuous performance improvements, this includes but not limited to, monitoring staff effectiveness based on productivity, conversions, documentation, accuracy of data entry, and overall timeliness of the intake, assessment, and application process

• Ability to multitask and remain focused in an environment with distractions

• Follow protocols and use common sense to escalate situations to management or other Healthfirst teams appropriately

• Handle other duties as assigned with the occasional need to work weekends, on-call, additional hours before or after shift schedule and/or from other HF site locations

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.