Medicare Services & Aging Coordinator

Medicare Services & Aging Coordinator

Requirements

• High School diploma or equivalent required.
• Bachelor’s in social work (or related field) with senior plans and patient-centric experience, or Medical Assistant or LVN desirable.
• Minimum 3 years’ experience working in a healthcare customer service/care coordination environment; knowledge of plan benefits and regulations governing Medi-Cal, Commercial, Medicare, and other government and commercial programs.
• Minimum 3 years of experience in a managed health care environment, preferably IPA, HMO, or Health Plan, preferred, in addition to experience working with an ethnically diverse population.
• Bilingual English/Spanish required.

Responsibilities

• Provide member-centric services to Medicare/Medi-Cal senior patients, including newly enrolled members of senior plans.
• Handle incoming calls, outbound calls, and initiatives that increase problem resolution, engagement, and retention.
• Screen patient needs, answer patient questions, schedule, and document services.
• Coordinate services required by regulation such as Health Risk Assessment/Medicare Health Assessment.
• Identify service needs such as transportation to and from appointments and remove barriers for health care access.
• Liaise with providers and staff responsible for coordinating follow-up and ensuring systematic check-ins with the members as needed.
• Provide warm hand-offs with assistance services and identify opportunities to improve efficiencies and customer service.
• Ensure the best member experience possible from beginning to end.

Preferred Qualifications

• Experience working with an ethnically diverse population.
• Experience in a managed health care environment, preferably IPA, HMO, or Health Plan.