Best Benefits, Social Service Specialist, Remote!

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com. Role Summary: The Best Benefits Social Service Specialist will facilitate appointments, referrals, hand-offs and translation assistance for members who may qualify for Long Term Care In Home or Community based resources. The Social Service Specialist will provide resources and materials to clients, enabling them to apply and receive services. You will also interact with federal agencies and private institutions to determine services. Role Responsibilities: • Contacts individuals regularly and clarifies any and all gathered eligibility data for Long Term Care In Home or Community based resources • Obtains authorization to represent form and all necessary documentation/verifications • Mails forms to patients/members interviewed to process case appropriately • Refers completed package to the appropriate government agency • Clarifies Centauri’s services with details, sets expectations for process and communication to ensure patient/member understanding • Advise members and patients of program time limitations and ensure deadlines are met • Determines if/where prospect is in the LTC application process • Follows up with the appropriate government agency on status of claim • Assists in acquiring verifications; helps obtain and complete forms, • Submits documents/applications to proper agencies; follows up appropriately with all entities to ensure timely processing • Overcomes objections to appropriately complete the application • Answers questions regarding the application, services and benefits • Communicates with prospects via phone, email or text • Leverages technology and account processing workflows; maintains data integrity with accurate and concise documentation in Centauri’s systems • Foresees what needs to be done with all accounts and takes appropriate action to secure eligibility until all methods are exhausted • Perform miscellaneous clerical tasks (fax, file, data entry, scan, index) • Works with government agencies/physician offices to obtain coverage for clients as required • Follows up with agencies timely and regularly on application status • Schedules appointments with the EIB • Determines appropriate timing of interview for plan member • Determines member’s ability to manage interview or necessity of Centauri’s assistance • Secures all necessary signed forms • Foresees what needs to be done and takes appropriate action • Promptly take and return all calls • Answers questions regarding accounts, eligibility, etc. • Maintains positive professional relationship with agencies and clients • Issues correspondence to physicians, educational institutions as needed • Interprets and correctly processes mail • Contacts providers / secures medical records as needed • Other duties as assigned Role Requirements: • Case Manager or similar experience for a minimum of one year • At least one year of health care experience desired • Basic Medicaid/Medicare Background • Basic Long Term Care Background • 1+ year working in Customer Service Center; familiarity with phone systems • High School Diploma or GED equivalent • Associates degree preferred, or equivalent degree/work experience • Outstanding Communication and Literacy Skills (listening, writing, speaking) in person and over the phone • Proficient with MS Office suite of products, and Windows operating system • Self-motivated and driven to succeed with a proactive work approach and solution focused attitude • Strong Problem Solving, Analytical, and Organizational skills We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan. Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate. Centauri Health Solutions is an equal opportunity employer. Apply tot his job