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Remote Member Engagement Specialist

2 months ago

San Antonio, United States BeneLynk Full time

NEW TRAINING CLASS BEGINS ON

Monday, August 26, 2024

Does the idea of applying your talents at a social care company that assists people address Social Determinant of Health (SDoH) barriers and compensates well for doing so, inspire you? We call it Doing good while doing well and invite you to apply to join us and begin moving forward along a beneficial career path one built on providing solutions by helping others navigate through the complex world of health care benefits.

Here at BeneLynk, our mission is to improve lives and positively impact social determinants of health barriers by providing our Managed Care partners with the information they need, and people with the advocacy they deserve. We are laser-focused on our longstanding area of expertise in the healthcare world. We fully understand barriers and surface solutions, then provide the advocacy that changes lives and improves outcomes. Everything we do, from the systems we build, to our government relations, to our outreach operations, is in service of this one central vision.

REMOTE MEMBER ENGAGEMENT SPECIALIST

This position holds accountability for conducting telephonic screening services to Medicare Advantage beneficiaries enrolled in a BeneLynk contracted Medicare Advantage plan. The Member Engagement Specialist makes outbound telephone calls and handles inbound telephone calls to confirm the beneficiaries Veteran status and assists with benefits sponsored by the Department of Veteran Affairs and other sources.

ESSENTIAL RESPONSIBILITIES

+ Meet production/departmental goals by answering inbound calls and conducting telephonic outreach activities to review and assess Medicare Advantage plan members eligibility for VA sponsored Veteran Support outreach campaign efforts (mail, phone, etc.) to identify Veterans and secure individual written member authorization to communicate with the VA for the purposes of retrieving individual charts from VA facilities throughout the country.

+ Review benefits and provide assistance with general social programs.

+ Meet daily, weekly, and monthly performance goals related to schedule adherence, telephone availability, working rate, and completion of follow-up assignments.

+ Meet quality standards by ensuring proper phone etiquette and adherence to scripts, have accurate and descriptive case documentation, and proper disposition of cases.

+ Review and analyze incoming Medicare Advantage plan member correspondence and/or inquiries for the purposes of retrieving member charts from VA facilities.

+ Conduct follow-up activities for processed correspondence and/or inquiries from BeneLynk Outreach initiatives.

+ Maintain current knowledge of state and federal regulatory requirements to adhere to strict compliance of all aspects of BeneLynks Outreach Operations.

+ Participate as required in BeneLynks staff and operational development programs. Be a team player and communicate openly and honestly.

+ Demonstrate behaviors, actions, and attitudes that reflect BeneLynks vision, mission, and values.

+ Other duties as assigned.

QUALIFICATIONS

Education High School or General Education Degree (Preferred)

Experience Demonstrated experience with direct consumer interaction and telephone sales experience. Demonstrated application of persuasion and ability to engage individuals over the phone; data entry and related computer skills.

Language Skills Excellent verbal and written communication skills; ability to communicate with elderly individuals. Bi-lingual (English & Spanish) preferred.

Reasoning Ability Ability to analyze and interpret program criteria; ability to interact and decipher information via telephone or correspondence inquires. Good communication skills. must be orally articulate, have good written communication skills, and also be good listeners; Judgement; Analytical skills; Research skills; People skills; Perseverance; Creativity.

Network Capability Reliable, high-speed internet connection.

Remote Environment - must establish an appropriate work environment that is quiet, clean, and safe, with adequate lighting within their home for work purposes.

New Hire Training Expectations

Employees hired for this role are expected to attend the New Hire Training in full attendance without any exceptions.

The August 26th New Hire Training class will begin on Monday, August 26, 2024, and continue through September 13, 2024. The 3-week training hours will be Monday through Friday, 9AM 6PM Eastern Time

We Offer Competitive Salaries And Benefits:

+ Medical, dental, vision, and employee assistance program benefits

+ Monthly Bonus Incentives

+ 401K match

+ Streaming Service Reimbursement

+ 23 paid days annually

+ Business casual dress

+ Monthly recognition

+ Weekly trivia games

+ Excellent growth & advancement opportunities

Work Environment

This role is a remote position.

BeneLynk cannot provide employment internationally, outside of Puerto Rico, or in specific states. The remote work for this position cannot be completed outside a home office, such as a caf or co-working space.

Position Type/Expected Hours of Work

Full-time /Non-Exempt (Hourly)

Hours vary

Salary:

$18.00 - $19.50 per hour, depending on experience.

EEO Statement

At BeneLynk, we dont just accept differences; we celebrate, support, and thrive on them for the benefit of our employees, our products, and the communities that we serve. All employees share in the responsibility for fulfilling this companys unwavering commitment to equal employment opportunity. BeneLynk is an equal opportunity employer, and as such, employment here is solely based on a person's merit and qualifications directly related to their professional expertise. BeneLynk does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, military status, marital/familial status, pregnancy, or related condition, including breastfeeding, or any other classes protected by law.

It is BeneLynks policy to comply with all applicable federal, state, and local laws pertaining to nondiscrimination and equal opportunity. The company's EEO policy, as well as its affirmative action obligations, includes the full support of the company, including its Chief Executive Officer because it's just the right thing to do and we hope that you think so too.

If you require reasonable accommodation in completing an application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to our HR team.

E-VERIFY

BeneLynk participates in E-Verify. We will provide the U.S. Social Security Administration (SSA) and, if necessary, the U.S. Department of Homeland Security (DHS) with information from each new employers Form I-9 to confirm work authorization.

***Offer of the employment contract is contingent upon the results of a required background and drug screening.***