Member Support Representative

Company: Centene Medicare
Location: Flushing
Posted on: January 18, 2025

Job Description:

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Provides comprehensive support to Fidelis and Wellcare members by addressing inquiries, conducting outreach, and assisting with enrollment in various health plans, including Medicaid, Medicare, and other Fidelis Care products. This role requires in-depth product knowledge, consultative selling, and the ability to facilitate access to services to ensure member satisfaction and retention.

• Understands the covered benefits, non-covered benefits, exclusions and exemptions
  
  • Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product
    
    • Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members
      
      • Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership
        
        • Researches, analyzes, and documents member inquiries regarding program eligibility.
          
          • Conducts outreach and follow-up calls to educate members on Wellcare products, acting as a liaison between members and various Fidelis and Wellcare departments.
            
            • Accurately documents all interactions in Salesforce and other relevant systems.
              
              • Gains and maintains thorough knowledge of Fidelis Care products, including options available through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA, and HARP.
                
                • Attends and participates in sales meetings, training programs, conventions, and special events.
                • Performs other duties as assigned
                  
                  • Complies with all policies and standardsEducation/Experience: High School Diploma , GED or equivalent required
                    1+ years marketing, sales or community relations experience, customer service including previous experience, in Healthcare preferably Medicare and/or Medicaid required
                    
                    Bilingual English/Spanish/Cantonese or Mandarin preferred: Specific language skills by some plans may be required
                    
                    State Accident and Health Insurance Agent License within 60 Days required: Current state driver's license Upon Hire requiredPay Range: $18.66 - $31.73 per hour
                    Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
                    
                    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
                    
                    Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Keywords: Centene Medicare, Plainfield , Member Support Representative, Other , Flushing, New Jersey