Bilingual Social Services Specialist - Fully Remote!

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.
Role Summary:
Facilitate appointments, referrals, hand-offs and translation assistance for members who may qualify for Long Term Care In Home or Community based resources. Provide resources and materials to clients, enabling them to apply and receive services. Interact with federal agencies and private institutions to determine services.
Role Responsibilities:

• Contacts individuals regularly and clarifies any and all gathered eligibility data for Long Term Care In Home or Community based resources
• Obtains authorization to represent form and all necessary documentation/verifications
• Mails forms to patients/members interviewed to process case appropriately
• Refers completed package to the appropriate government agency
• Clarifies Centauri’s services with details, sets expectations for process and communication to ensure patient/member understanding
• Advise members and patients of program time limitations and ensure deadlines are met
• Determines if/where prospect is in the LTC application process
• Follows up with the appropriate government agency on status of claim
• Assists in acquiring verifications; helps obtain and complete forms,
• Submits documents/applications to proper agencies; follows up appropriately with all entities to ensure timely processing
• Overcomes objections to appropriately complete the application
• Answers questions regarding the application, services, and benefits
• Communicates with prospects via phone, email, or text.
• Leverages technology and account processing workflows; maintains data integrity with accurate and concise documentation in Centauri’s systems
• Foresees what needs to be done with all accounts and takes appropriate action to secure eligibility until all methods are exhausted
• Perform miscellaneous clerical tasks (fax, file, data entry, scan, index)
• Works with government agencies/physician offices to obtain coverage for clients as required
• Follows up with agencies timely and regularly on application status
• Schedules appointments with the EIB
• Determines appropriate timing of interview for plan member
• Determines member’s ability to manage interview or necessity of Centauri’s assistance
• Secures all necessary signed forms
• Foresees what needs to be done and takes appropriate action
• Promptly take and return all calls
• Answers questions regarding accounts, eligibility, etc.
• Maintains positive professional relationship with agencies and clients
• Issues correspondence to physicians, educational institutions as needed
• Interprets and correctly processes mail
• Contacts providers / secures medical records as needed
• Other duties as assigned

Role Requirements:

• Strong Literacy (grammar, spelling, math)
• Excellent Microsoft Products, word, excel, outlook, windows/Technology focused
• Basic Medicaid/Medicare Background
• Basic Long Term Care Background
• Phone system utilization
• Working with diverse population
• Strong ability to persuade or influence
• Excellent telephone skills
• Excellent analytical skills
• Excellent interpersonal skills
• Excellent written/verbal communication
• Strong Organizational skills
• Strong Problem-Solving/Decision Making
• Excellent Conflict management
• Good interviewing skills
• Strong key boarding skills
• Excellent customer service skills
• Ability to effectively paraphrase
• Excellent listening skills
• Excellent time management skills/ability to meet deadlines
• Strong change management skills

We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan.
Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.
Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.
This position is bonus eligible in accordance with the terms of the Company’s plan.

Health insurance, Tuition reimbursement, Paid time off, 401(k) matching