Job Title: Medical Insurance Call Center Representative/Service/Care Coordinator
Duration: 6 Months (Possible Extension)
Location: Remote
Shift Time: 8:00am to 6:00pm (CST)
Job Summary
Provide support to medical, behavioral, and social support staff to determine needs, eligibility, and services for members.
Conduct screening and risk assessment interventions per program guidelines.
Job Responsibilities
These positions work in a Call Center setting where the contractors are on a phone queue.
Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.
Identify special needs members through the completion of health screens and other resources. Work with community outreach/member advocates to coordinate member care.
Educate providers and community resources on program components and available support services.
Educate members with special needs to foster compliance with program and positively impact outcomes.
Conduct site visits as appropriate for programs and provide support to other special programs.
Assist with modification and management of care plans under the direction of a Registered Nurse in conjunction with member, medical consenter, or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician.
Education/Experience
Bachelor’s degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience.
0-2 years of experience
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Staffing and Recruiting
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