DescriptionThe Medicare Care Management HRA Support Specialist is responsible for outreaching to client Healthcare Medicare customers to screen health, lifestyle, care coordination needs and engage them in internal Care Management programs. Job related functions include telephonic customer outreach to complete health screenings, educating customers on available benefits, coordinating with internal teams to ensure timely hand-off to appropriate care teams, and maintaining documentation for regulatory review. The HRA Navigator must ensure all necessary information is collected, reviewed, and processed according to established policies.Potential activities that may occur during telephonic customer interaction will vary, but may include:Completing telephonic HRA assessments or processing incoming mailed or faxed HRA’sAssisting with the scheduling of medical appointmentsConnecting customers to case management and community resourcesAddressing gaps in care and educating customer on having an annual face to face visit with their provider.Educating customers on plan benefitsRouting customer referrals to appropriate care management team based on identified needs.Escalating customer concerns or issues appropriatelyRequirements:Possesses strong written and verbal communication skills with a focus on top- quality customer service and health care coordination.Empathetic attitude with ability to offer emotional support.Experience and knowledge of multiple aspects of the health care system.Excellent listening skillsHelps customers identify problems or barriers and navigate health care resources.Passion for the proper care and well-being of customersProficient in computer application skills and navigation, including email (Outlook), spreadsheets (Excel), Word processing, and data input, including ability to utilize dual monitors.Works well in a team approach with strong interpersonal skillsAbility to handle multiple tasks, set priorities and develop action items. Detail oriented.Knowledge of regulatory requirements with emphasis on MedicareHigh school diploma, college degree preferred or equivalent managed care experience.1+ years’ experience in managed care or related work in Health Services with emphasis on population management preferred.1+ years’ experience with processes that involve telephone contact and process management preferred.Notes:Remote VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
DescriptionThe Medicare Care Management HRA Support Specialist is responsible for outreaching to client Healthcare Medicare customers to screen health, lifestyle, care coordination needs and engage them in internal Care Management programs. Job related functions include telephonic customer outreach to complete health screenings, educating customers on available benefits, coordinating with internal teams to ensure timely hand-off to appropriate care teams, and maintaining documentation for regulatory review. The HRA Navigator must ensure all necessary information is collected, reviewed, and processed according to established policies.Potential activities that may occur during telephonic customer interaction will vary, but may include:Completing telephonic HRA assessments or processing incoming mailed or faxed HRA’sAssisting with the scheduling of medical appointmentsConnecting customers to case management and community resourcesAddressing gaps in care and educating customer on having an annual face to face visit with their provider.Educating customers on plan benefitsRouting customer referrals to appropriate care management team based on identified needs.Escalating customer concerns or issues appropriatelyRequirements:Possesses strong written and verbal communication skills with a focus on top- quality customer service and health care coordination.Empathetic attitude with ability to offer emotional support.Experience and knowledge of multiple aspects of the health care system.Excellent listening skillsHelps customers identify problems or barriers and navigate health care resources.Passion for the proper care and well-being of customersProficient in computer application skills and navigation, including email (Outlook), spreadsheets (Excel), Word processing, and data input, including ability to utilize dual monitors.Works well in a team approach with strong interpersonal skillsAbility to handle multiple tasks, set priorities and develop action items. Detail oriented.Knowledge of regulatory requirements with emphasis on MedicareHigh school diploma, college degree preferred or equivalent managed care experience.1+ years’ experience in managed care or related work in Health Services with emphasis on population management preferred.1+ years’ experience with processes that involve telephone contact and process management preferred.Notes:Remote
(Please ensure email matches your resume email)
(document types allowed: doc/docx/rtf/pdf/txt) (max 2MB)
By submitting this form, you are consenting to the VIVA team contacting you via Phone/Email