Healthfirst

**Duties and Responsibilities** + Handle inbound and outbound calls to and from customers to address their needs while adhering to our service level goals. + Screen all incoming calls and handles accordingly. + Transfer calls to appropriate staff, unit, or department. + Assist callers requesting assistance with Medicaid Renewal application, Medicare Savings Program application, and New Medicaid Applications. + Outreach Senior Health Partners, CompleteCare, and Life Improvement Plan members according to approved scripts. + Research ePACES and/or Marx for Medicaid and Medicare eligibility, exclusion, and exemption codes. + Consult with HRA Medicaid staff as needed and report to supervisor any need for HRA consultation. + Document all client calls /outcomes in database systems. + Schedule appointments to see members/prospects out in the field to assist with Medicaid Issue or restriction code removals or demographic information changes Growth...

****Preferred Bilingual Mandarin and/or Cantonese** Job Description **Duties/Responsibilities:** + Provide high-quality customer service to providers and members across all LOBs with a variety of questions and issues on topics such as eligibility, benefits, claims process, escalations, and products + Manage face-to-face encounters by interacting with customers to provide information in response to inquiries about products and services, improve overall member experience, and reduce waiting time to expedite traffic flow + Identify and de-escalate situations where member/provider is dissatisfied and provide a satisfactory resolution + Build sustainable relationships of trust through open and interactive communication with internal and external customers + Provide ad-hoc assistance to cross functional teams working on campaigns and case reviews to ensure standards are met + Partner with other Healthfirst member-facing departments by participating in...