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Case Management Associate (Bi-Lingual and CST time zone) - NICU

Role overview

Qualifications

  • 1 – 3 years of experience in customer service in a healthcare environment
  • HS diploma or equivalent required; College degree preferred
  • Must be fluent in English and bi-lingual in Spanish
  • Call center (outbound) experience strongly preferred

Responsibilities

  • Coordinates with the Case Managers in follow-up outreach to unenrolled families
  • Track and document status of case in database
  • Communicate basic program information to families and facilitate follow-up call by Case Manager
  • Monitor member eligibility

Key facts

Hard skills

Other skills

  • Customer Service
  • Microsoft Outlook
  • Microsoft Excel
  • Microsoft PowerPoint
  • Microsoft Word
  • Professional Communication
  • Problem Solving
  • Time Management

About the company

ProgenyHealth, LLC logo

ProgenyHealth, LLC

Digital Health & Health Tech

ProgenyHealth is the only national, tech-enabled women’s healthcare company dedicated to Maternity and NICU Care Management. We serve women, infants, caregivers, and families through the milestones of maternal health — from conception and pregnancy to postpartum and parenting, with special expertise in managing premature and complex births and resulting NICU admissions. Our industry-leading intelligent platform, Baby Trax™, integrates utilization management and case management, while also driving payment validation & assurance activities based on clinical data. With more than 20 years of experience, our board-certified physicians, nurses, social workers and others, collaborate with providers to improve health outcomes, enhance the member and provider experience, and reduce costs for commercial health plans, Medicaid payers, and large employers.

Company details

IndustryDigital Health & Health Tech
Company size201 - 500

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Job description

Description This position has a Spanish bi-lingual and CST time zone requirement.

Job Role

The Case Management Associate NICU will assist the Case Management department in the administration of CM functions to include, telephonic follow-up to members; monitor member eligibility; updating database information and research of support services for families. This is a full-time, remote position with five 8-hour work days per week, between the hours of 8:30 am to 7:00 pm Monday-Friday. In addition, hours for this position will be in Central Time Zone.

Job Responsibilities:

  • Coordinates with the Case Managers in follow-up outreach to unenrolled families
  • Track and document status of case in database
  • Communicate basic program information to families and facilitate follow-up call by Case Manager
  • Monitor member eligibility
  • Update database with member demographic information
  • Research support groups, member resources and provider information
  • Facilitate case closures
Requirements

Qualifications

  • 1 – 3 years of experience in customer service in a healthcare environment.
  • HS diploma or equivalent required. College degree preferred.
  • Must be fluent in English.
  • Bi-lingual in Spanish is required.
  • Call center (outbound) experience strongly preferred.
  • Insurance/payor experience preferred.
  • Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas as well as interact professionally and effectively with members, clients, and staff from all departments within and outside the company.
  • Problem solving skills with the ability to look for root causes and implementable, workable solutions.
  • Must be proficient at an intermediate to advanced level in Outlook, Excel, PowerPoint, & Word.
  • Must be self-motivated and willing to learn multiple tasks.
  • Must be well-organized and able to prioritize tasks.
  • Must have commitment to excellence in customer service.

Benefits/Culture

Our team is our most important asset. some of the benefits we offer our team are:

  • 401K with company match
  • Medical and dental benefits
  • Long Term Disability
  • Paid Time Off

ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com

All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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