Healthcare specialist

Role Overview :

Our company helps hospitals and health plans improve their revenue and deliver community benefits. On their behalf, we help their patients and plan members with low or no income, and those who are aged or disabled, to enroll in government-funded assistance programs.

Healthcare Specialists is an entry level position and will handle all submitted Social Security applications from beginning to end while providing claimants with outstanding customer service and support and will work closely with Social Security offices nationwide.

The Healthcare Specialist will coordinate appointments, provide resources and materials, and provide medical updates to Disability Determination Services and private institutions.

A successful Healthcare Specialist is an empathetic communicator, likes to juggle multiple projects, is detail oriented and, above all, is compassionate.

Role Responsibilities :

• Maintains regular communication with claimants, answers questions regarding the application, services, and benefits and clarifies eligibility data
• Will manage all inbound and outbound queue calls while staying on top of own tasks
• Assists in gathering eligibility data, verifications, completed forms and medical records.
• Manages positive professional relationships with agencies and clients.
• Submits documents / applications to proper agencies; follows up appropriately with all entities to ensure processing and stays updated on status of claims.
• Manages all accounts and taking appropriate action to secure eligibility until all methods are exhausted.
• Secures and submits all necessary signed SSA forms and any missing verifications
• Contacts providers / secures medical records as needed
• Is thoughtful and proactive to anticipate and foresee key requirements for all accounts and takes appropriate action to secure eligibility until all methods are exhausted
• Works with government agencies / physician offices to obtain coverage for clients
• Maintains positive professional relationship with agencies and clients
• Understand and agree to role-specific information security access and responsibilities
• Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
• Read, understand, and agree to security policies and complete all annual security and compliance training

Role Requirements :

• 2 years of Customer Service
• Must be fluent in both Arabic and English (speak, read, write)
• Excellent communication and interpersonal skills with an ability to clearly communicate and influence
• Call Center experience and / or De-Escalation experience a plus
• Experience working with government agencies a plus
• Experience in Social Services, case management, processing disability / claims evaluation and / or adjudication, and Medicaid / Medicare knowledge a strong plus
• Strong interpersonal skills and ability to work in a team environment
• Detail Oriented, Willing to Learn, and Goal Driven
• Ability to multi-task and manage time appropriately

Last updated : 2024-09-08