Healthfirst

Bilingual Call Center Rep – Relationship Coordinator

Healthfirst

full-time

Posted on:

Location Type: Remote

Location: Connecticut • New Jersey • United States

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Salary

💰 $48,600 - $65,960 per year

About the role

  • Handling inbound and outbound calls to and from customers to address their needs while adhering to internal Service Levels standards.
  • Creates and/or follow ups for up to 90 days on Long-Term Care (LTC) Leads and Opportunities entered in Salesforce.
  • Answer all calls or complete outbound calls according to approved scripts.
  • Searches ePACEs for Medicaid eligibility, exclusion, and exemption codes.
  • Achieves daily, weekly, and monthly growth goals.
  • Handle all calls to maximize productivity and optimal operational efficiency.
  • Connects consumers seeking personal care/long term care services with the State broker to complete the initial evaluation.
  • Schedules Clinical Assessors to complete Community Health Assessments for Mainstream/HARP members requesting Personal Care Services at home.
  • Troubleshoots and follows up on LTC enrollment rejections.
  • Engage in mastering Divisions' impact on all Healthfirst Plans and its members.

Requirements

  • High school diploma or GED
  • Fluency in reading and speaking English and additional language
  • Member / Customer Service experience
  • Availability to work for 8 ½ hours shift, based on business needs, within our hours of operations: Monday – Friday 8:00 AM – 8:00 PM and Saturdays 10:00 AM – 6:30 PM
  • Capability to work in a remote environment with reliable internet connection
  • Tech Savvy computer skills such as Microsoft Office Suites: Outlook, Excel, Word, PowerPoint
  • Organized and multi-tasking capabilities and detail oriented.
  • Understanding of and sensitivity to cultural differences and needs of the community are essential.
  • Adept at working in an environment with fast-past changing priorities including high stress while achieving quota expectations.
Benefits
  • medical, dental and vision coverage
  • incentive and recognition programs
  • life insurance
  • 401k contributions
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
customer serviceMedicaid eligibilityLTC enrollmentCommunity Health Assessmentssalesforcelead follow-upoperational efficiencyquota achievement
Soft Skills
organizational skillsmulti-taskingdetail orientedcultural sensitivityadaptabilitycommunication skillsproblem-solving
Certifications
high school diplomaGED