Vns Healthcare - New York, NY

posted 2 months ago

Full-time - Entry Level
New York, NY

About the position

The Sales Operations Support Coordinator, Bilingual Cantonese, plays a crucial role in the VNS Health team by assessing the eligibility of Medicare referrals and processing them through the referral management system. This position requires a proactive approach to ensure that all referrals are handled efficiently and effectively, working closely with various departments to resolve any Medicaid-related issues. The coordinator will act as a representative for VNS Health during transfer calls with New York Medicaid Choice (NYMC) and will be responsible for scheduling internal nurse assessments. The role operates under general supervision, allowing for a degree of independence while ensuring compliance with organizational standards and procedures. In this position, the coordinator will provide education to consumers regarding the eligibility requirements of Medicare plans. This includes reviewing and confirming the eligibility of potential enrollees and collaborating with NYMC to schedule necessary assessments. The coordinator will also be responsible for promoting positive relationships with enrollees and responding to inquiries related to eligibility and program information. A significant part of the role involves working with both internal and external customers to ensure that referrals are processed and followed up on as needed, thereby enhancing the overall customer experience. The coordinator will utilize Salesforce to assign referrals to VNS Health Sales agents for follow-up on Medicare applications and Statements of Understanding (SOA). Additionally, the role involves outreach to potential enrollees referred through various methods, reviewing their eligibility, and providing Medicaid assistance when necessary. The coordinator will work closely with the Enrollment department to process daily submissions for enrollment to NYMC and ensure that all required documents are accurately loaded into the member record system. This position serves as a vital liaison between the Sales and Clinical teams, ensuring effective communication and collaboration across departments. The coordinator will also handle inbound calls, ensuring that consumer needs are understood and addressed, contributing to a positive customer experience. Participation in special projects and other assigned duties will also be part of the role.

Responsibilities

  • Assess eligibility of the Sales team's VNS Health Medicare referrals.
  • Process and enter referrals into the referral management system(s).
  • Act as a VNS Health plan representative for NYMC to complete transfer calls.
  • Schedule internal nurse assessments and resolve Medicaid-related issues.
  • Provide education to consumers on Medicare plans' eligibility requirements.
  • Review and confirm potential enrollees' eligibility and collaborate with NYMC for scheduling assessments.
  • Promote satisfactory enrollee relationships and respond to inquiries regarding eligibility and program information.
  • Work with internal and external customers to ensure referrals are processed and followed up on as needed.
  • Assign referrals to VNS Health Sales agents in Salesforce for follow-up.
  • Provide outreach to potential enrollees referred via various methods and offer Medicaid assistance as needed.
  • Collaborate with the Enrollment department to process daily submissions for enrollment to NYMC.
  • Ensure consumers are enrolled effectively and required documents are loaded into the member record system.
  • Serve as a liaison between Sales, Clinical teams, and other departments.
  • Receive and respond to inbound calls to address consumer needs and create a positive customer experience.
  • Establish effective customer-focused working relationships with members, physicians, and providers of long-term care services.
  • Participate in special projects and perform other duties as assigned.

Requirements

  • Associate's Degree in health, human services, or a related discipline, or equivalent work experience required.
  • Minimum two years of experience in customer service or business operations required.
  • Minimum one year of experience working in a Call Center setting required.
  • Proficient interpersonal, organizational, strong attention to detail, analytical and writing skills required.
  • Knowledge of Medicaid eligibility requirements required.
  • Strong understanding or experience with Salesforce preferred.
  • Proficiency with personal computers, including MS Excel, Word, and Outlook required.

Nice-to-haves

  • Strong understanding or experience with Salesforce preferred.

Benefits

  • Referral bonus opportunities
  • Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
  • Health insurance plan for you and your loved ones, including Medical, Dental, Vision, Life, and Disability
  • Employer-matched retirement saving funds
  • Personal and financial wellness programs
  • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
  • Generous tuition reimbursement for qualifying degrees
  • Opportunities for professional growth and career advancement
  • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
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