Medicare Advantage Support Specialist
1 month ago
Overview:
**Location: WFH after 90 days**
**Hours: Monday-Friday 8:30am-5:00pm.**
- Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work._
- Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark_
**Holistic benefits designed to help our team members flourish in all aspects of their lives, including**:
- Comprehensive medical and prescription drug benefits that include medical coverage at 100% (after deductible) when utilizing a Duly provider.
- $5,250 Tuition Reimbursement per year
- 40 hours paid volunteer time off
- A culture committed to Diversity, Equity and Inclusion (DEI) and Social Impact
- 12 Weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members
- 401(k) Match and discretionary
- Profit-sharing program
**Are you ready to challenge the expected to deliver the extraordinary?**
**Responsibilities**:
**The Journeys and Adventures that Await**
**MAJOR RESPONSIBILITIES**:
- **
**Medicare Advantage Specialized scheduling (50%)**:
- Processing of inbound contact center interactions via multiple modes of communication ranging from phone calls to electronic written responses via My Chart
- Cross functional scheduling across all areas of Duly health and Care (Primary Care Physicians, Specialty Physicians and Behavioral Health)
- Coordination with site clinical and managerial staff to provide prioritized scheduling for our Medicare Advantage patients
- Identifying clinical patient concerns and escalating to Central Nurse Triage or the appropriate physician site/department as needed
- Verifying, cancelling, scheduling, and rescheduling appointments across all Duly service lines.
- Answer general scheduling related questions
- Registration/Patient Account Support
- Participate in mentoring and training initiatives to improve patient care
- Collect patient payments and outstanding balances
- **Medicare Advantage Guidance and Coordination (30%)**:
- Performs and delegates tasks to facilitate patient care as appropriate based on patient need and Medicare Advantage guidelines
- Serves as a peer resource to new and existing team members to improve Medicare Advantage knowledge
- Educates office staff on Medicare Advantage Regulations to enhance patient care and improve the patient experience
- **Update patient information in Electronic Medical Record (20%)**:
- Update patient information and demographic changes upon request
- Update Insurance information upon request
Qualifications:
**The Experiences You Bring**
**Level of Education**
- High school diploma or GED
**Years of Experience**
- 1 - 2 years Call Center and/or Customer Service environment (required)
- 2 years’ experience in Medical Office Setting (required)
- 1 - 2 years’ experience with Epic or EMR (preferred)
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