Case Resolution Specialist Job at FreedomCare
Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We're the largest consumer-directed home care agency in NY State, and are continually expanding our areas of focus including operations in other states and tech-based innovations.
We pride ourselves on our values which drive the level of care that we deliver to our patients:
- Here For You (An attitude of service, empathy, and availability)
- Own It (Drive and ownership)
- Do the Right Thing (High integrity)
- Be Positive (Great attitude and a can-do positive approach to challenges)
Join our team and make a positive impact on the lives of others! We are looking for a Case Resolution Specialist to join our CX- Intake team.
Department & Position Overview:
This customer-centric role will partner with patients and health plans to identify issues preventing the patient from continuing services. This team also assists any former patient who is looking to return to the agency with restoring their CDPAP services.
Everyday You Will:
- Assist both patients & caregivers with completing the CDPAP process to restore services
- Communicate with patients, caregivers & health plans to ensure that the CDPAP process is completed
- Consistently reach out to patients to provide updates and ensure that they are aware of the status of the process
- Work cross-functionally with Intake, Care Teams, and all other necessary departments to ensure that patients/caregivers are in engaged and getting the most value out of our services
- Meet daily, weekly & monthly metrics & call requirements to ensure patients are able to resume services
- Assist patients with troubleshooting & resolving any Medicaid related issues.
- Educate patients & caregivers about the CDPAP process
- Work with health plans to obtain authorizations & ensure all necessary paperwork is on file & up to date
Ideal Candidate Will Possess:
- 2+ years of experience in health care operations (healthcare, business, customer experience are all interesting areas of past experience)
- 2+ years Customer Service experience
- Previous experience with insurance verification preferred (i.e. Medicaid)
- Demonstrated ability to think outside the box, developing strategy and turning it into tangible results
- Passion for helping others & ensure all patients are satisfied with our services. improving home care and for leveraging technology to improve lives
- Energized by ambitious goals and working in a fast-paced environment
- Demonstrated ability to work independently and is a self-starter
- Willingness to go the extra mile to ensure patients & caregivers are receiving the best experience.
- Strong analytical, organization and time management skills
- Bilingual Spanish is a must - Candidate must be fluent in Spanish (read, speak and write)
This is a remote role with potential travel into our main office in Lake Success, NY or the FreedomCare hub closest to you.
Why work at FreedomCare?
We are here for you and committed to providing a best-in-class employee experience. We offer competitive compensation, medical benefits, retirement plans, wellness programs, fun company events and ongoing learning opportunities to grow your career.
This is a place where your voice matters, where we build great relationships, and your work has meaning and a tangible positive impact on others!
At FreedomCare, we celebrate diversity and are committed to creating an inclusive environment for all employees. We are an Equal Opportunity Employer and do not discriminate based upon race, religion, color, national origin, ancestry, age, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
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