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Retention Representative

Role overview

Qualifications

  • High School Diploma required
  • Previous Customer Service experience
  • One to two years related experience required
  • Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet

Responsibilities

  • Assist members with completing and processing Government health program applications
  • Respond to inquiries regarding the application process from new and existing members
  • Provide member resolution by researching, analyzing, and documenting inquiries
  • Develop and maintain relationships with existing members through the recertification process

Key facts

  • Remote from: New York (USA)
  • Full time
  • Junior (1-2 years)
  • English, Russian, Spanish

Hard skills

Other skills

  • Customer Service
  • Microsoft Office
  • Communication
  • Relationship Building
  • Problem Solving

About the company

Centene Corporation logo

Centene Corporation

Health Insurance (Payers)

Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

Position Purpose:
Responsible for retaining current membership by assisting members with the completion and processing of Government health program applications; responds to all inquiries regarding the application process from both new and existing members and strives to meet daily production metrics designed to achieve higher membership retention.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.

Must be able to work a schedule of Monday-Friday, 10:00am - 6:00pm EST. Fluency in Chinese, Spanish and Russian strongly preferred.

  • Provide member resolution by researching, analyzing, and documenting inquiries regarding program eligibility; answer application and service questions regarding the programs and services to maintain and attract membership; conduct follow-up calls reminding members to return recertification applications, and request missing documentation if warranted

  • Develop and maintain relationships with existing members by providing guidance and assistance through the recertification process; demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by the Plan; modify delivery skills accordingly to overcome objections and retain members; identify solutions to issues and concerns

  • Complete all required paperwork and documentation necessary to complete the application process; track and input actions taken during the recertification process to ensure all member accounts correctly reflect activities performed

  • Input, update, and create member information on databases to maintain customer accounts; utilize computer systems to perform administrative functions

  • Performs other duties as assigned

  • Complies with all policies and standards

Education/Experience: High School Diploma required. Previous Customer Service experience. One to two years related experience required. Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet. Proficiency in one or more languages other than English.
 

Pay Range: $15.87 - $27.25 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
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