Staffing Solutions Organization LLC ยท 2 months ago
Healthcare Data Specialist - Complaint Intake
One Commerce Plaza, Albany, 99 Washington Ave, Albany, New York, United States of America
Full-time
Hybrid
Entry Level
$26/hr - $28/hr
2+ years expStaffing Solutions Organization LLC (SSO) is focused on providing world-class managed staffing and talent consulting services. The Healthcare Data Specialist will assist the Unit Manager with the day-to-day activities of the Intake Unit, responding to and tracking complaints and inquiries from Medicaid enrollees and healthcare providers.
ConsultingRecruitingStaffing Agency
No H1B
Responsibilities
Respond professionally to complaints and inquiries from the Bureau of Consumer Services (BCS) complaint phone line, fax and complaint email boxes. The HOOA will collect relevant information from the complainant and accurately enter the information into the BCS Complaint Database or refer caller to the responsible government agency
Use all available resources to accurately respond to allegations raised by complainants
Elevate complaints to the BCS Investigation Unit appropriately, ensuring all relevant information is included in the complaint file
Work collaboratively with health insurance plans, healthcare providers, consumers, advocates, designees and government agencies to ensure appropriate action is being taken and that the complainant understands their rights
Provide current and accurate guidance to complainants regarding Medicaid Managed Care services and benefits
Maintain an organized work environment to ensure work is accomplished efficiently and effectively
Support all work of the Intake Unit and assist in special projects as requested by the Team Lead or Unit Manager
Qualification
Required
2 years of experience managing/administering/reporting on data
Preferred
Associates Degree
The ability to function in a team environment
The ability to take initiative and ask questions
The ability to speak professionally on the phone
Call Center Experience
Knowledge of NYS government sponsored health programs
Knowledge and experience using eMedNY (NYS Medicaid Eligibility System) and Back Office (NYSOH)
Experience in investigating issues in enrollment and eligibility and Managed Care Plan regulatory compliance
Knowledge of medical terms and procedures
Proficiency in Microsoft Office (Excel)
Benefits
Health, vision, and dental insurance
401(k) with discretionary employer match
Paid time off and holidays
Flexible spending accounts
Other Perks
Company
Staffing Solutions Organization LLC
Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase