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Client Eligibility Coordinator
2 months ago
Título: Coordinador de Elegibilidad del Cliente
Reporta a: Gerente de Gestión de Casos No Médicos
Descripción del Puesto:
El puesto implica la responsabilidad directa de establecer y documentar la elegibilidad de los clientes para diversos programas y beneficios.
Funciones y Responsabilidades:
- Encargarse de las admisiones, actualizaciones y cumplimiento de normativas.
- Gestionar la programación de citas de los clientes.
- Investigar y resolver problemas de elegibilidad de los clientes de manera exhaustiva, oportuna y precisa.
- Responder de manera oportuna a las consultas sobre elegibilidad de los miembros de partes interesadas internas y externas.
- Solicitar la información necesaria para determinar la elegibilidad de manera precisa y oportuna.
- Mantener la confidencialidad de todos los asuntos comerciales.
- Conservar archivos de documentos de elegibilidad entrantes y nuevas referencias de clientes.
- Completar inscripciones y renovaciones de clientes.
- Realizar mediciones de resultados para los clientes.
- Completar auditorías internas y preparativos necesarios para auditorías externas.
- Actualizar manualmente los datos de elegibilidad de los miembros en la base de datos de Servicios al Cliente.
- Gestionar renovaciones de emergencia de clientes y solicitudes de asistencia.
- Proporcionar orientación a los clientes como profesional de la salud.
- Referir a los clientes a gerentes de casos que necesiten servicios adicionales.
- Otras tareas según se asignen.
Requisitos y Calificaciones:
- Título de asociado o 3+ años en el campo del VIH; la experiencia puede sustituir la educación.
- 1 año de experiencia previa en la determinación de elegibilidad de Ryan White preferido.
- Familiaridad con aplicaciones de Microsoft Office.
- Capacidad para trabajar de manera eficiente y efectiva con clientes de poblaciones desatendidas.
- Capacidad para colaborar de manera eficiente y efectiva con un conjunto diverso de compañeros de trabajo.
- Fuertes habilidades de gestión del tiempo.
- Excelentes habilidades de comunicación escrita y oral.
- Excelente conocimiento técnico y empresarial.
- Se prefiere el dominio del español.
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