Job Information
Trinity Health Membership & Retention Specialist - MediGold in Columbus, Ohio
Employment Type:
Full time
Shift:
Description:
Why MediGold?
MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
What we offer:
Competitive compensation and benefits packages including medical, dental, and vision coverage
Retirement savings account with employer match starting on day one
Generous paid time off programs
Employee recognition incentive program
Tuition/professional development reimbursement
Relocation assistance (geographic restrictions apply)
Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing
Why MediGold?
MediGold (https://medigold.com/) is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
What we offer:
Competitive compensation and benefits packages including medical, dental, and vision coverage
Retirement savings account with employer match starting on day one
Generous paid time off programs
Employee recognition incentive program
Tuition/professional development reimbursement
Relocation assistance (geographic restrictions apply)
Discounted tuition and enrollment opportunities at the Mount Carmel College of Nursing
About the job:
The Membership and Retention Specialist responds to complex member inquiries, resolving issues and complaints, and engaging in activities to promote member enrollment with Mount Carmel Health Plan's (MCHP's) Medicare Advantage insurance products (HMOs/PPOs).
What you'll do:
Relationship-based Care: Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system.
Complies with internal policies, Center for Medicare and Medicaid Services (CMS), Ohio Department of Insurance (ODI), NCQA and all applicable Federal regulations.
Conducts telephonic sales activities within the scope of licensure and regulatory requirements while consistently and accurately documenting such sales activities/inquiries within the designated software.
Review sales calls for sales audit purposes.
Proactively outreaches to members deploying retention efforts. The ability to initiate recovery actions in difficult situations required.
Acts as liaison for members, prospects and plan representatives. Demonstrates positive role modeling and promotes brand awareness
All other duties as assigned.
What we're looking for:
Education: Minimum of high school education. Bachelor's Degree preferred or an equivalent combination of education and experience.
Experience: Two (2) years of customer service experience. Experience and knowledge of governmental agencies and regulations, especially Medicare and the Centers for Medicare and Medicaid Services (CMS) desired.
Effective Communication Skills; sales, retention and strategic thinking.
Demonstrated knowledge and effective organizing multi-tasks, in a high volume, fast-paced team environment with the ability to incent sales of insurance products.
PC proficient including word-processing, data entry, Microsoft office and various software.
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Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran