Member Support Specialist

2 weeks ago

Cullman, United States Complete Health Full time
Job Description

Schedule: Monday - Friday

Pay: $22.00 - $24.00/hr

SUMMARY OF JOB DUTIES:

The Member Support Specialist (MSS) directly engages and assists the Member Support Representative (MSR) within the assigned center(s). The MSS role will act as an extension of the MSR internally and externally when necessary.

ESSENTIAL JOB FUNCTIONS:

  • Identifies internal members, relations to work cohesively with MSR for conversion into HMO through Point of Care Opportunities
  • Age-In Report
    • Handwrites Birthday Cards
    • Obtains signatures from MSR/MSS, PM and Care Team
    • Include MSR/MSS Business Card
  • Traditional Medicare Appointment Lists
    • (Reviews and omits Tricare/ChampVa/Retirement Plans)
  • Leads from Events/Marketing
    • Schedule Tours, conducts Tours if MSR off-site
    • Schedule New Patient Annual Wellness Visits (AWV) Appointments
    • Updates the "Leads" tab on the MSR Master Spreadsheet (MS Excel)
    • Updates MSR Master Spreadsheet if patient selects a Value-Based Medicare Plan
  • Mailout Campaigns (schedule tours/first appointments)
  • Member Issues
    • Primary Care Physician (PCP) Assignments
    • Transportation
    • Patient Assistance Programs (PAP)
    • Reminders Notifications
  • Creates Slybroadcast for various conversion list opportunities
  • Contacts each Medicaid-Medicare personally
    • Obtain Consent To Contact (CTC)
    • Contact Broker/Agent
    • Follow-up with Broker/Agent
    • Updates MSR Master Spreadsheet ("leads" tab) and Athena medical records system
  • The MSS engages with new patients after MSR has scheduled first appointment through and beyond for retention
  • The MSS manages, upkeeps the Athena system and associated rosters/spreadsheets with new leads and contacts assigned to MSR
  • Enter New VBC Patients and New Medicare Patients including scheduling New Patient Appointment and Annual Wellness Appointment
  • Change insurance in EMR system from non-VBC Plan to VBC Plan
  • Create Patient Cases when necessary (Rx refills, clinical questions, referral questions, etc)
  • Inactivate Deceased and Inactive Patients in EMR system (includes PCP changes, move out of area status)
  • Report Building/Library (ties into those turning 65(T65) and Medicaid/Medicare) as requested/needed by MSR
  • The MSS engages with new patients after MSR has scheduled first appointment through and beyond for retention
  • Answers phones, follow-up on Voicemails
  • Meets with patients in office to conduct:
    • Complete Health 360 assessment
    • Patient Assistance Program (PAP) reviews
    • Annual renewal of PAPs
  • The MSS works in partnership with he MSR to obtain a team Medicare Advantage enrollment goal per their center(s) assigned
  • The MSS ideally spends 90% of their time within their office(s), 10% assisting with events/outreach led by MSR
Requirements

MINIMUM REQUIREMENTS
  • Service-excellence oriented in a healthcare setting (e.g., senior diabetic, dental offices, primary care, etc.) or health-plan support of Medicare Advantage to doctors' offices and staff;
  • Knowledge of various Medicare plans, including Medicare Advantage HMO, PPO, C-SNP, D-SNP;
  • Demonstrated experience on member roster reconciliation, preferably in MS Excel;
  • Outreach via email, chat, phone, written correspondence;
  • Experience supporting member events on off-site, including occasional evening weekend hours;
  • Ability to give tours and guide members to services both within the clinic and within the member's health-plan, as well as outside agencies.


WORKING ENVIRONMENT

The position requires climbing, stooping, kneeling, crouching, reaching, standing, lifting, grasping, feeling, talking, hearing, repetitive motions, and finger use. Pushing and pulling are occasionally required. Use of a computer, keyboard, and telephone along with various office machines is an essential part of the job.

DISCLAIMER

The above statements are intended to describe the general nature and level of work being performed by the Member Support Specialist. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. The Member Support Specialist may be required to perform duties outside of their normal responsibilities from time to time as needed or as directed by supervision.

  • Adult Residential Peer Support Specialist

    4 days ago

    Cullman, United States WellStone Full time

    ** Adult Residential Peer Support Specialist** **Job Category****:** Peer Support **Requisition Number****:** ADULT01380 Showing 1 location **Job Details** **Description** WellStone is North Alabamas most comprehensive behavioral healthcare provider serving over 13,000 persons a year in Huntsville, Cullman and Decatur. We are a non-profit community...

  • Onboarding Specialist

    1 week ago

    Cullman, United States Cullman Regional Full time

    Job DetailsJob Location Cullman Regional Medical Center - Cullman, AL Position Type Full Time Job Shift Day DescriptionOnBoarding Specialist Cullman Regional seeks a dedicated, articulate onboarding administrator to join our Human Resources team as the Onboarding Specialist. Supporting the full recruiting lifecycle and ensuring a smooth onboarding experience...

  • Marketing Specialist

    1 week ago

    Cullman, United States Webb Wheel Full time

    Webb Wheel Products, Inc. Come join a team where People make the difference! As a part of Marmon Holdings, Inc., a highly decentralized organization, we rely heavily on people with the aptitude, attitude, and entrepreneurial spirit to drive our success, and we're committed to attracting and retaining top talent. The Marketing Specialist is responsible for...

  • HDD Directional Drill Specialist

    4 weeks ago

    Cullman, United States Velox, LLC Full time

    Job DescriptionJob DescriptionThe drilling specialist at Velox is a highly skilled and experienced professional responsible for operating and overseeing the operation of horizontal directional drilling (HDD) equipment. This role involves advanced drilling techniques, locating, problem solving, and leadership in ensuring the accurate and efficient...

  • Parent Peer Support Partner

    4 weeks ago

    Cullman, United States Wellstone Inc Full time

    Job DescriptionJob DescriptionWellStone is North Alabama’s most comprehensive behavioral healthcare provider serving over 13,000 persons a year in Huntsville and Cullman. We are a non-profit community organization that offers a wide range of services for every phase of life, from children to older adults. We are hiring for a Parent Peer Support Partner in...

  • Parent Peer Support Partner

    2 weeks ago

    Cullman, United States Wellstone Inc Full time

    Job DescriptionJob DescriptionWellStone is North Alabama’s most comprehensive behavioral healthcare provider serving over 13,000 persons a year in Huntsville and Cullman. We are a non-profit community organization that offers a wide range of services for every phase of life, from children to older adults. We are hiring for a Parent Peer Support Partner in...

  • Payroll & Benefits Specialist

    4 weeks ago

    Cullman, United States Building Industry Partners Full time

    Job DescriptionJob DescriptionBuilding Industry Partners portfolio, Southeast Building Supply Interests, is seeking a talented Payroll and Benefits Specialist to join their team and work closely with the Director of HR.The Payroll & Benefits Specialist administers the activities relating to the company payroll, benefits, and HRIS processing, including...

  • BILINGUAL PATIENT APT SERVICE SPECIALIST

    1 week ago

    Cullman, AL 35056, USA, United States CULLMAN REGIONAL Full time

    Job DetailsJob LocationCullman Regional Medical Center - Cullman, ALPosition TypeFull TimeJob ShiftDayBilingual Patient Appointment Service SpecialistBilingual Patient Appointment Service SpecialistCullman Regional Medical Group is looking for a Patient Appointment Service Specialist to work in our Call Center taking incoming calls for our Primary Care and...

  • PATIENT APT SERVICE SPECIALIST

    1 week ago

    Cullman, AL 35056, USA, United States CULLMAN REGIONAL Full time

    Job DetailsJob LocationCullman Regional Medical Center - Cullman, ALPosition TypeFull TimeJob ShiftDayCall Center AgentPatient Appointment Service SpecialistCullman Regional Medical Group is looking for a Patient Appointment Service Specialist to work in our Call Center taking incoming calls for our Primary Care and Specialty Teams. We are looking for...

  • Associate Financial Representative

    2 weeks ago

    Cullman, United States Modern Woodmen of America Full time

    Overview The Modern Woodmen – Cullman office is seeking a motivated and driven individual to join our team as an Associate Financial Representative. This role offers an opportunity to partner with a respected local business and work alongside the Managing Partner and Senior Financial Representative. The ideal candidate will maintain existing relationships...

  • Associate Financial Representative

    3 days ago

    Cullman, United States Modern Woodmen of America Full time

    Overview The Modern Woodmen – Cullman office is seeking a motivated and driven individual to join our team as an Associate Financial Representative. This role offers an opportunity to partner with a respected local business and work alongside the Managing Partner and Senior Financial Representative. The ideal candidate will maintain existing relationships...

  • Vice President of Finance

    7 days ago

    Cullman, United States Building Industry Partners Full time

    Southeast Building Supply Interests is a best-in-class, people-focused, Regional LBM pro-dealer organization. We are currently growing the SBSI portfolio and seeing a VP of Finance to join the leadership team. This role will be a hands-on finance lead to oversee accounting operations, gather and analyze financial data and prepare financial reports....

  • Vice President of Finance

    2 weeks ago

    Cullman, United States Building Industry Partners Full time

    Job DescriptionJob DescriptionSoutheast Building Supply Interests is a best-in-class, people-focused, Regional LBM pro-dealer organization. We are currently growing the SBSI portfolio and seeing a VP of Finance to join the leadership team.This role will be a hands-on finance lead to oversee accounting operations, gather and analyze financial data and prepare...

  • Material Management Clerk

    3 days ago

    Cullman, United States Cullman Regional Full time

    Job DetailsJob LocationCullman Regional Medical Center - Cullman, ALPosition TypeFull TimeJob ShiftDayDescriptionMaterial Management ClerkEach day, Cullman Regional team members come to work with a commitment to collaborate, share knowledge, communicate and most important to support one another in what we do, knowing that every moment here matters. Cullman...

  • CASE MANAGER

    6 days ago

    Cullman, United States Cullman Regional Full time

    Job DetailsJob Location Cullman Regional Medical Center - Cullman, AL Position Type Full Time Job Shift Day DescriptionCase Manager Job Summary: Under the direction of the Director of Case Management, the Case Manager is responsible for the activities of utilization management, and care coordination in the development and implementation of a discharge plan...

  • Hospice Chaplain

    7 days ago

    Cullman, United States Agape Care Group Full time

    Overview: Join Our Team as a Spiritual Care CoordinatorAre you passionate about making a difference in the lives of others? Do you want to make a meaningful impact and help create positive experiences for patients and families?  We are looking for spiritual care coordinators or chaplains to join our team who are committed to guiding each patient with...

  • Registered Nurse

    2 weeks ago

    Cullman, United States Agape Care Group Full time

    Overview: Become a Weekend On-Call RN with Agape Care GroupDo you value the time you spend with your patients? Is it important to you that your patients and their families know and feel that you are with them? We are looking for registered nurses to join our team who are committed to creating meaningful patient experiences. As a registered nurse at Agape...

  • Pediatric Dentist

    4 weeks ago

    Cullman, United States Henry Schein Full time

    Job DescriptionJob DescriptionWe are experiencing tremendous growth in our patient base, and we are looking for a Pediatric Dentist to join our busy practice. This is a multiple doctor office where the needs of the patient always come first. This is an established practice with a steady patient flow and high productivity. It will be a rewarding opportunity...