JOB DESCRIPTION Job Summary

Provides support for eligibility activities including screening of candidates and identification of qualified, eligible prospects for both long-term care. Assists current members with coverage renewals - ensuring that program participants are enrolled in and maintain applicable benefits and entitlements, and facilitates outreach to prospects who may qualify coverage.

Essential Job Duties

• Conducts candidate pre-screening for eligibility, and assists prospects/members with eligibility and coverage.
• Participates with the care team in continuous performance improvement activities, facilitates performance improvement problem-solving, and contributes to superior customer service team efforts - ensuring every member is treated with respect, courtesy and fairness.
• Educates and provides assistance to members and/or families, and completion/submission of recertification applications for potential and active members via telephone ...