出海雷达

远程双语医疗补助与医疗补助资格专员(倡导者)

Remote Bilingual Medicare & Medicaid Eligibility Specialist (Advocate)

其他限定地区(需当地身份)
公司Centauri Health Solutions
薪资未公开
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Full Time
发布时间11 天前
数据来源Himalayas
前往 Himalayas 查看并投递 →
注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

我们是谁
Centauri 提供数据驱动的技术解决方案,将分散的临床和成员数据转化为可操作的智能信息,为健康计划和医疗系统最大化准确性、质量和成果。通过与客户的紧密合作,Centauri 通过倡导、先进的数据分析和智能临床数据传递改善患者和成员的成果。公司解决复杂人群的关键医疗挑战,提高护理的可及性和质量。
总部位于亚利桑那州坦佩,Centauri Health Solutions 在全国拥有 1100 名敬业员工,曾入选 Inc. 5000 强榜单,2020 年被列为 Deloitte Technology Fast 500™ 榜单,并被评为 2026 年 KLAS 最佳 ADT 通知服务。

你的日常任务(你将做什么)
在 Centauri Health Solutions,我们不只是处理申请;我们是人们的救生索。对许多 Medicare 成员来说,与我们的团队打一次电话可能意味着节省 Medicare 保费。我们正在寻找富有同理心、有动力的人加入我们,担任 Medicare/Medicaid 资格专员(MMES)。如果你从解决复杂问题和为他人辩护中获得深层次的满足感,你的使命就从这里开始。你将成为支持的声音和成员在常常令人困惑的政府福利世界中的可靠向导。

  • 充满同情心的对话:与需要申请或获取或保留 Medicaid、Medicare 优惠计划(MSP)和低收入补贴(LIS)的成员进行通话。
  • “人肉翻译器”:通过一系列简单的问题确定个人是否符合 Medicaid 或 LIS 福利资格。在需要时,用简单、温暖且耐心的方式解释复杂的法规和资格要求。
  • 申请精通:收集并验证敏感的个人信息和财务信息,以确保 100% 准确的注册和重新认证。
  • 法规标准:严格遵守 HIPAA、州法规和公司合规标准。
  • 数据库导航:同时管理多个软件系统和数据库,跟踪成员进展和文档。
  • 工作时间:周一至周五,东部时间上午 11 点至晚上 7:30 点(山地时间上午 9 点至下午 5:30 点)

理想的倡导者(你是谁)
你是朋友和家人在遇到复杂问题时会求助的人。

  • 西班牙语流利(口语、阅读、写作)
  • 经验:2-3 年医疗保健或资格筛查相关经验
查看英文原文

Who We Are
Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care.
Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications.
Your Daily Mission (What You’ll Do) At Centauri Health Solutions, we don’t just process applications; we serve as a lifeline. For many Medicare members, a single phone call with our team can mean potentially saving on Medicare Premiums.  We are looking for empathetic, driven individuals to join us as Medicare/Medicaid Eligibility Specialists (MMES). If you find deep satisfaction in solving complex problems and advocating for others, your mission starts here.  You will be the voice of support and a trusted guide for members navigating the often-confusing world of government benefits.

  • Compassionate Conversations: Make and receive calls with members needing to apply for or obtain or retain Medicaid, Medicare Savings Programs (MSP), and Low-Income Subsidies (LIS).
  • The "Human Translator": Determine if individuals are eligible for Medicaid or LIS benefits through a series of simple questions. When needed, explain complex regulations and eligibility requirements in simple, warm, and patient terms.
  • Application Mastery: Gather and verify sensitive personal and financial details to ensure 100% accurate enrollment and recertification.
  • Regulatory Standards: Maintain strict adherence to HIPAA, state regulations, and company compliance standards.
  • Database Navigation: Simultaneously manage multiple software systems and databases to track member progress and documentation.
  • Schedule will be Monday to Friday, 11am to 7:30pm EST (9am to 5:30pm MST)

The Ideal Advocate (Who You Are) You are the person friends and family turn to when they need help with something complicated.

  • Fluent in Spanish (speak, read, write)
  • Experience: 2–3 years in healthcare, eligibility screening, case management, or high-touch customer service.
  • Subject Matter Interest: Knowledge of Medicaid, Medicare, SCHIP, or Special Needs Plans (SNP) is a major plus.
  • Tech-Savvy: You are comfortable navigating multiple screens, Microsoft Teams, and Outlook while talking and typing, maintaining a warm conversation and documenting information in real time.
  • Patience: You remain calm and professional, when faced with obstacles you see these moments as opportunities to build trust.
  • Critical Thinker: You can manage difficult conversations and use probing questions to clarify information and find solutions.

The Reality of the Role (Transparency Matters)
To thrive in this position, you should enjoy a structured, performance-driven environment.

  • High-Volume Engagement: This is a phone-based role. You will spend your day making and receiving calls.
  • Scripted Excellence: To ensure total compliance, you will work within well-defined procedures. Your creativity comes from your tone and empathy while following the process.
  • Goal-Oriented: You will be expected to meet daily and weekly production and quality goals. Efficiency allows us to help more people.
  • Bonus: You will be eligible to receive bonus payments for exceptional performance.

Why You’ll Love Centauri (Our Promise to You)
We believe that caring for our members starts with caring for our team, and we are committed to providing a rewarding environment where employees can grow, excel, and achieve both personal and professional goals.

  • Comprehensive medical, dental, vision, and prescription coverage
  • Wellness program supporting overall well-being
  • Company-paid basic life and AD&D insurance
  • 401(k) plan with company match
  • Tuition reimbursement opportunities
  • Paid time off for vacation and illness
  • Six paid company holidays
  • Floating holiday
  • Company-paid training and computer equipment
  • Performance-based bonus program
  • Paid time off for volunteer activities
  • Employee referral bonus program
  • Career development and training opportunities, including leadership growth

Compensation Transparency Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.
Equal Employment Opportunity and Accommodation Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.
Originally posted on Himalayas

本页面信息整理自 Himalayas,版权归原发布方所有。职位可能随时关闭,投递请以原始页面为准。 本站只做信息聚合展示,不参与招聘流程,也不向求职者收取任何费用。

该公司其他在招职位

健康计划销售副总裁

Centauri Health SolutionsUnited States$158,000 - $243,300/年Full Time11 天前
市场运营限定地区(需当地身份)

← 返回全部职位