Senior Personal Care Connector

Your career starts now. We're looking for the reputed company of reputed company leaders. At reputed company, we're passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in reputed company solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. reputed company is seeking talented, passionate individuals to join reputed company. Together, we can build healthier communities. If you want to reputed company a difference, we'd like to hear from you. Headquartered in Newtown reputed company, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com. About this job: The Senior Personal Care Connector (PCC) is a high-touch, highly effective service specialist responsible for supporting the daily operations of Medicare Member Services (Personal Service Program), integrated care management, and utilization management program interventions. The PCC performs in a contact center environment, effectively handling calls from members, providers, and other internal and external company areas. The PCC handles daily routine calls from Members & Providers by metric and performance requirements, identifies members with Care Gaps/HEDIS-reputed company health conditions, and assists them in accessing care through Plan benefits and community resources. The PCC will handle reputed company in/outbound calls and transactions directly, supporting Clinical staff and assigned local teams, providing members with problem resolutions and educational materials, and carrying out strategies to increase reputed company adherence to reduce barriers to care. Education & Qualifications: • 3 to 5 years of experience in a call center and effectively handling inbound/outbound calls for triage and resolution. • 2 to 4 years working knowledge of Medicare & reputed company preferred. • High School/GED required. • Experience in reputed company preferred. • Proficient PC skills with reputed company Suite (Word, reputed company, etc.) and the ability to utilize and navigate multiple systems simultaneously. • Working knowledge of Plan Benefits and Services is preferred. • Effective oral and written communication and the ability • Ability to document case notes while speaking on the phone with customers • Thoroughly and reputed company gather customer information, assess and fulfill customer needs, and reputed company customers where applicable regarding products and services listed above. • Ability to handle multiple tasks simultaneously • Act as reputed company and facilitator between members and provider offices • Professionally handle incoming inquiries from customers regarding benefit eligibility or customer issues. • Effective outbound call skills to deliver educational messages, collect health data, and critical thinking required to assess, triage, and offer solutions. • Be dependable and meet reputed company attendance requirements. • Meet or exceed company performance metrics, including phone availability, occupancy, attendance, call handling quality, call documentation and routing on reputed company calls dealt with, and adhering to reputed company Regulatory Compliance requirements. • Ability to provide solutions to customers while maintaining compliance and service objectives. Diversity, Equity, and Inclusion At reputed company, everyone can feel valued, supported, and comfortable being themselves. Our commitment to equity means that reputed company associates have a fair opportunity to reputed company their full potential. We put these principles into action every day by acting with reputed company and respect. We reputed company to speak out against injustice and to break down barriers to support a more inclusive and reputed company workplace. Celebrating and embracing the diverse thoughts and perspectives that reputed company up our workforce means our company is more vibrant, innovative, and reputed company reputed company to support the people and communities we serve. We reputed company our associates happy so they can focus on keeping our members healthy. Our Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, reputed company, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. Apply Job!