OverviewProvides support to the Care Coordinators and other staff in the resolution of member related issues. Communicates with members and their families regarding information about MLTC services. Provides summary reports, analysis and support for care coordination related activities. Participates in non-clinical customer service for members enrolled in the VNS Health Plans MLTC plan in collaboration with Care Coordination department and other healthcare professionals. Works under general supervision.
Compensation Range:$20.98 - $26.23 Hourly
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals.
What You Will Do
Works with members, providers, and staff to identify and resolve member service and retention related issues. Educates potential members/community representatives on plan features, plan benefits, and program admission requirements.
Coordinates telephonic intake and responses to both clinical and non-clinical customer service issues. Identifies nature of issue, independently responds to and resolves non-clinical issues and complaints, and escalates clinical issues to appropriate department and staff.
Assists in monitoring member satisfaction through phone calls to verify service, answering questions and providing information. Documents member service issues, identifies trends and recommends potential solutions.
Maintains expertise in VNS Health Plans MLTC benefits, network and organization structure. Acts as a resource to members to guide them in accessing their benefits.
Places orders or referrals for services and follows up to ensure services are scheduled and provided. Processes and monitors invoices for payment.
Serves as a resource for MLTC Care Coordinators and other staff in the resolution of member-related issues.
Establishes effective customer-focused working relationships with members, physicians and providers of long-term care services.
Audits system-generated reports, reconciles data, and distributes reports to management for review.
Participates in interdisciplinary team meetings and provides input on customer service related activities.
Protects the confidentiality of member information and adheres to company policies regarding confidentiality.
Ensures compliance with the VNS Health Plans OICE policies and procedures as well as all Federal and State regulations.
Provides administrative support to care coordination staff
Language Interpreter Only:
Acts as a conduit between the care management team and members for communication in the member’s preferred language with a high degree of accuracy
Precept new interpreter staff
Translation of written documentation and phone messages
Coordinates interpretation assignment with the care management team as needed
Participates in special projects and performs other duties as assigned.
QualificationsLicenses and Certifications:
Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs. required
Education:
High School Diploma or equivalent required and Associate's Degree in a healthcare related field preferred
Work Experience:
Minimum of one year of customer service experience required Language Interpreter Only: ◦ Ability to read, write, and speak the English language and their native or target language
CAREERS AT VNS Health
The future of care begins with you. Together, we will revolutionize health care in the home and community. When you join VNS Health, you become a part of something bigger. For generations, we’ve been a recognized leader and innovator in patient-centered and community-focused health care. At VNS Health, you’ll have the opportunity to meaningfully impact lives. Including yours. Discover your next role at VNS Health.