[Hiring] Social Service Specialist @Centauri Health Solutions

Role Description

As a Social Services Specialist in the Best Benefits service line, you will play a key role in helping members access Long-Term Care through in-home or community-based resources. Your responsibilities include:

• Coordinating appointments and referrals
• Providing ongoing support and follow-up throughout the application process
• Handling both outbound and inbound calls
• Using screening tools to assess eligibility
• Guiding qualified members step-by-step through the application and waiver process

Qualifications

• 1+ years of experience working in a professional office & fast-paced environment
• 1+ year working in Customer Service Center
• At least one year of health care experience desired
• High School Diploma or GED equivalent
• Experience preferred in one of the following areas: Business, customer service, Social Services, work with diverse populations; case management
• Basic knowledge of Medicaid and Long Term Care
• Knowledge and comfort engaging individuals of diverse cultural and ethnic backgrounds
• Basic knowledge of issues and challenges faced by underserved and vulnerable populations
• Proficient skills with MS Office and Windows operating system
• Phone system utilization
• Strong Literacy (grammar, spelling, math)

Requirements

• Contact individuals regularly and clarify any and all gathered eligibility data for Long Term Care In Home or Community based resources
• Obtain verbal authorization to represent and assist with all necessary documentation/verifications
• Mail forms to members to process cases appropriately
• Advise members and members of program time limitations and ensure deadlines are met
• Follow up with the appropriate government agency on status of application
• Overcome objections to appropriately complete the application
• Leverage technology and account processing workflows; maintain data integrity with accurate and concise documentation in Centauri’s systems
• Foresee what needs to be done with all accounts and take appropriate action to secure eligibility until all methods are exhausted
• Schedule appointments with external agencies
• Maintain positive professional relationships with members, agencies, and clients
• Contact providers and assist with ensuring documentation is sent to the appropriate agency
• Communicate with members via phone, clarifying the details of our services and properly setting expectations for process and communication to ensure member understanding
• Follow established workflow for member follow-up contact to determine outcome and resolution of member application
• Document all member contact in Centauri Health Solutions database
• Perform miscellaneous clerical tasks; promptly take and return all calls; answer questions regarding the waiver process; complete other duties as assigned
• Ensure member satisfaction through scheduled follow-up contact
• Manage a high volume of outbound/inbound phone calls
• Manage weekly scheduled queue shifts

Benefits

• Comprehensive medical, dental, vision, and prescription coverage
• Wellness program supporting overall well-being
• Company-paid basic life and AD&D insurance
• 401(k) plan with company match
• Tuition reimbursement opportunities
• Paid time off for vacation and illness
• Six paid company holidays
• Floating holiday
• Company-paid training and computer equipment
• Performance-based bonus program
• Paid time off for volunteer activities
• Employee referral bonus program
• Career development and training opportunities, including leadership growth