Personal Care Connector
Share
Job Location:
Philadelphia, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
10 hours ago
Vacancies:
1 Vacancy
Job Summary
Job Title: Personal Care Connector
Location: Philadelphia PA
Duration: 3 Months
Job Type: Contract
Note: Top 3 Keywords: 1- Medicare & Medicaid Member Services 2- Care Gap / HEDIS Outreach 3- Contact Center Care Coordination
Top Required Skills:
- Medicare & Medicaid knowledge
- Customer service and call center support
- Care coordination and member engagement
Must-Have Skills:
- Working knowledge of Medicare & Medicaid (2 4 years preferred)
- Strong verbal and written communication skills
- Call center experience handling inbound and outbound calls
- Ability to document case notes while on calls
- Customer service and problem-resolution skills
- Ability to navigate multiple systems simultaneously
- Multitasking and time management skills
- Knowledge of regulatory compliance and performance metrics
Nice-to-Have Skills:
- Experience in care management or utilization management support
- HEDIS and care gap identification experience
- Experience working with providers and community resources
- Healthcare contact center experience
Key Responsibilities & Duties:
- Handle inbound and outbound calls from members providers and internal teams in a contact center environment
- Support Medicare Member Services care management and utilization management program activities
- Identify members with care gaps or HEDIS-related conditions and assist with accessing care and resources
- Provide education problem resolution and support to improve healthcare adherence
- Act as liaison between members providers and clinical teams
- Document calls case notes dispositions and generate reports while meeting performance metrics
Requirements:
- High School Diploma or GED
- 1 3 years of customer service or healthcare support experience
- Working knowledge of Medicare and Medicaid programs
- Ability to meet call center performance and attendance metrics
- English proficiency (read write speak)
Key Skills
- Billing
- Apparel Merchandising
- Information Security
- Jewellery
- Art
