Remote Best Benefits - Social Service Specialist

  Your Daily Mission   As a Social Services Specialist in the Best Benefits service line, you will play a key role in helping members access Long-Term Care through in-home or community-based resources. Your responsibilities include coordinating appointments, referrals, and providing ongoing support and follow-up throughout the application process. In this fast-paced environment, you will handle both outbound and inbound calls, use screening tools to assess eligibility, and guide qualified members step-by-step through the application and waiver process.   Who You Are   1+ years of experience working in a professional office & fast-paced environment 1+ year working in Customer Service Center At least one year of health care experience desired High School Diploma or GED equivalent Experience preferred in one of the following areas: Business, customer service, Social Services, work with diverse populations; case management  Basic knowledge of Medicaid and Long Term Care Knowledge and comfort engaging individuals of diverse cultural and ethnic backgrounds Basic knowledge of issues and challenges faced by under served and vulnerable populations Proficient skills with MS Office and Windows operating system Phone system utilization Strong Literacy (grammar, spelling, math)   The Reality of the Role   Contact individuals regularly and clarifies any and all gathered eligibility data for Long Term Care In Home or Community based resources Obtains verbal authorization to represent and assists with all necessary documentation/verifications Mails forms to members to process case appropriately Advise members and members of program time limitations and ensure deadlines are met Follows up with the appropriate government agency on status of application Overcomes objections to appropriately complete the application Leverages technology and account processing workflows; maintains data integrity with accurate and concise documentation in Centauri’s systems Foresee what needs to be done with all accounts and take appropriate action to secure eligibility until all methods are exhausted Schedules appointments with the external agencies Maintains positive professional relationship with members, agencies and clients Contact providers / assists with ensuring documentation is sent to the appropriate agency Communicates with members via phone, and clarifies the details of our services, properly sets expectations for process and communication to ensure member understanding. Follows established workflow for member follow-up contact to determine outcome and resolution of member application. Documents all member contact in Centauri Health Solutions database. Perform miscellaneous clerical tasks.  Promptly takes and returns all calls.  Answer questions regarding the waiver process.  Completes other duties as assigned. Maintains positive professional relationships with members, agencies and clients throughout application process. Ensures member satisfaction through scheduled follow-up contact. Manage a high volume of outbound/inbound phone calls. Manages weekly scheduled queue shifts.