Healthcare Eligibility Specialist - 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:
Outreach Specialists build relationships with health plan members and patients that are eager to learn more about Centauri's services. Outreach Specialists interpret and clarify information such as eligibility requirements and application details, and also determine what additional support may be required. Outreach Specialists will initiate procedures to refer patient/member to other agencies for assistance as appropriate. Outreach Specialists must be compassionate and understanding while providing patients and health plan members with the highest level of customer service.
Fully remote, work from home position! All equipment provided by company, but candidate must have a dedicated, private workspace.
Role Responsibilities:

• Makes outbound and receives inbound calls providing detailed information about eligibility services and conducts eligibility screening
• Interviews patients/members via phone to gather personal/sensitive information in order to determine eligibility for various programs
• Interprets and explains information such as eligibility requirements and application details
• Clarifies eligibility data with patient or member
• Compiles, records, and evaluates personal and financial data in order to verify completeness and accuracy
• Utilizes the computer system to accurately complete the screening for eligibility and disposition the account as required
• Initiates procedures to refer patient/member to other agencies for assistance as appropriate
• Monitors actions to ensure goals are met
• Understand and agree to role-specific information security access and responsibilities
• Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
• Read, understand and agree to security policies and complete all annual security and compliance training

Role Requirements:

• 1+ years Customer Service experience
• Empathy and desire to help others
• Strong decision making skills
• Ability to provide a private and quiet work environment, and work independently
• Strong attention to detail and follow-through skills
• Experience in healthcare or government benefits or agencies a plus
• Highly proficient in MS Office (Outlook, Word, Excel, Teams)
• Strong communication and customer service skills
• Ability to track/monitor/retrieve information on calls
• Understanding of the management of call queues
• Bilingual a Plus!

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