Take2 Consulting, LLC · 6 hours ago
Case Manager
Take2 Consulting, LLC is seeking a talented individual to join their team as a Case Manager. This role involves verifying, documenting, and coordinating information for processing applications and eligibility operations, while providing customer service and ensuring accurate data entry.
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Responsibilities
Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members
Verify, document, and investigate the presence of health care coverage for Medicaid recipients and their families
Assist in the identification of members that may qualify for the HIPP/Premium Assistance program
Complete periodic reports
Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program
Data entry to include accurate and timely entry of information
Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program
Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth
Performs other functions as assigned
Qualification
Required
High School Diploma or equivalent required
Min. 2 year of experience in insurance industry, health care or government sponsored health insurance to include customer service and medical billing knowledge or similar math related experience
Min. 2 year experience working on the phone making inquiries (outbound) and answering calls (inbound)
Ability to organize well
Strong Customer Service Skills
Strong Communication Skills
Ability to provide and represent professionalism in job
Ability to practice flexibility and adaptability in the work place
Ability to work with Microsoft Word and Excel and navigate internet skillfully
Ability to analyze information and use logic and process to address work-related issues and problems
Ability to operate with strong interpersonal skills
Ability to be careful and thorough about detail
Ability to perform data entry accurately
Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines
Ability to handle conflict appropriately and constructively
Working knowledge of HIPAA privacy and Security rules
Ability to perform well in team environment
Ability to meet deadlines
Ability to handle pressure and deadline oriented project demands
Preferred
Call Center Experience Preferred
Human Resources or Health Insurance Experience preferred
Bilingual Preferred
Knowledge of health care terminology is a plus