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Customer Service Program Coordinator

1 month ago

Orange, California, United States Infojini Full time

The Program Assistant (Enrollment Medicare) will be responsible for assisting with specialized services for Medicare dual eligible members, including data reporting, analysis, and reconciliation. This role will focus on member retention through accurate and timely resolution of issues and functions with minimal direction. The successful candidate will prioritize daily tasks and work items in queue, manage turnaround times, and manage items that require escalation.

They will partner cross-functionally with various operational business units while supporting departmental objectives and regulatory guidelines. Additionally, they will be responsible for complex and escalated enrollment and disenrollment tasks.

Key Responsibilities:

  • Assist with data reporting, analysis, and reconciliation for Medicare dual eligible members
  • Focus on member retention through accurate and timely resolution of issues and functions
  • Prioritize daily tasks and work items in queue, manage turnaround times, and manage items that require escalation
  • Partner cross-functionally with various operational business units
  • Support departmental objectives and regulatory guidelines
  • Responsible for complex and escalated enrollment and disenrollment tasks

Requirements:

  • High School diploma or equivalent required
  • 1 year of experience in eligibility and/or reconciliation required
  • An equivalent combination of education and experience sufficient to successfully perform the essential duties of the position

Preferred Qualifications:

  • Health insurance background (Medicare), as well as previous experience interacting with regulatory agencies
  • Experience with practices related to Medicare
  • Bilingual in English and in one of defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese)

Knowledge & Abilities:

  • Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds
  • Work independently and exercise sound judgment
  • Communicate clearly and concisely, both orally and in writing
  • Work a flexible schedule; available to participate in evening and weekend events
  • Organize, be analytical, problem-solve, and possess project management skills
  • Work in a fast-paced environment and in an efficient manner
  • Manage multiple projects and identify opportunities for internal and external collaboration
  • Motivate and lead multiprogram teams and external committees/coalitions
  • Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job-specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment

Physical Requirements:

  • Ability to visually read information from computer screens, forms, and other printed materials and information
  • Ability to speak (enunciate) clearly in conversation and general communication
  • Hearing ability for verbal communication/conversation/responses via telephone, telephone systems, and face-to-face interactions
  • Manual dexterity for typing, writing, standing, and reaching, flexibility, body movement for bending, crouching, walking, kneeling, and prolonged sitting
  • Lifting and moving objects, patients, and/or equipment 10 to 25 pounds