FULL_TIME

FEED

OTHER

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Strong computer skills, including the ability to navigate and work in multiple systems including but not limited to call center software programs, Microsoft office and other CRM tools.

Essential Duties and Responsibilities:- Provide callers with informed and objective responses to complex concerns in regards to eligibility guidelines and policies, access to care issues, and escalated concerns.- Respond effectively to all forms of inbound and outbound contacts.- Process workflow documents, which include, income, identity, and other eligibility verification documents.- Accept new knowledge to policy and procedures concerning state programs and integrate it with resource materials to answer client concerns.-Guide applicants through the Medicaid, SNAP, and TANF application processes.-Provide clear and accurate information about program eligibility criteria.-Ensure excellent customer service by addressing client concerns with patience and professionalism.-Document interactions notate applications, and work across multiple systems to process eligibility.-Maintain a high standard of confidentiality. Minimum Requirements - High school diploma or GED required and 1+ years of relevant professional experience required, or equivalent combination of education and experience. - Must be fluent in English and specified secondary language. - Must be able to read, write, and speak in English and Spanish.- Ability to work independently in a remote environment.- Strong communication skills, both verbal and written.- Must be willing and able to accept a limited service position.- Must be willing and able to attend training for 6 weeks on camera with no absences from 8:00am-4:30pm EST, Monday-Friday.- Must be willing and able to work a full-time shift during the hours of operation (8:00am-7:30pm EST Monday-Friday, 9:00am-12:00pm EST Saturday).Preferred Skills and Qualifications- High volume call center experience.- Familiarity with Medicaid, SNAP, or TANF or other government healthcare programs.- Strong computer skills, including the ability to navigate and work in multiple systems including but not limited to call center software programs, Microsoft office and other CRM tools.- High level of empathy, especially when interacting with individuals in vulnerable situations. - Residency in Eastern (EST) or Central (CST) time zones. Home Office Requirements- Internet speed of 25mbps or higher required (you can test this by going to www.speedtest.net).- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router.- Must currently and permanently reside in the Continental US. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com. Minimum Salary $ 18.46 Maximum Salary $ 18.46 <ul><li/></ul><img alt=" " height="1" src="https://ars2.equest.com/?response_id=bb5b706968d610d7f10261390108db11&view" width="1"/>

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Spanish Bilingual Limited Service Customer Service Representative

Call Center Software

Call Centers

Call Volume

Communication Skills

Computer Skills

Customer Relationship Management (CRM) Systems

Customer Support/Service

English Language

Government

Healthcare

Medicaid

Microsoft Office

Multilingual

Presentation/Verbal Skills

SNAP

Spanish Language

Writing Skills

equestftpin

If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com. Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals.-

Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals.- Provides medical subject matter expertise.- Performs advanced database searches.- Composes documents, reports, and correspondence.- Documents all incoming inquiries.- Participates in special projects as required.Minimum Requirements - High School diploma or equivalent with 2-4 years of experience. - May have additional training or education in area of specialization. - Must be fluent in English and specified secondary language.Education, Experience and Skills- Experience in medical, scientific or public health discipline - Bachelor's Degree in Nursing and current RN license is required. - Clinical knowledge of and experience with CDC related topics - Proficient internet search skills - Working knowledge of Microsoft Office and ability to learn and utilize software applications - Excellent listening, comprehension, communications (verbal and written), problem solving and customer service skills - Ability to work independently and communicate effectively - Must have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks - Ability to speak and read English and Spanish clearly, professionally, and fluently - Call Center experience preferred - Must have a Smartphone which will be required only to log into Maximus systems, not for daily work activities.***This position requires you to use your own personal computer or laptop. Tablets, iPads, and Chromebooks are not permitted. ***Home Office Requirements - Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net) - Minimum 5mpbs upload speed - Hard-wired internet connectivity via Category 5 or 6 ethernet cable to the home internet router - Private and secure work area and adequate power source - Windows or Mac Operating SystemsOS for Windows | - Windows 10 or Windows 11 (11 is preferred)OS for Mac - Big Sur (11.0.1+); Catalina (10.15); Monterey (12.3)EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com. Minimum Salary $ 34.85 Maximum Salary $ 68.55 <ul><li/></ul><img alt=" " height="1" src="https://ars2.equest.com/?response_id=33d34cc63e69e431999e3a17296ad53d&view" width="1"/>

RN Health Coordinator (bilingual, temporary, remote)

Administrative Skills

Ethernet Cable

High School Diploma

Interpersonal Skills

Leadership

Mac Operating System

Microsoft Windows Operating System

Multitasking

Network Routers

Organizational Skills

Public Health

Registered Nurse (RN)

Smartphones

UNKNOWN

In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. This Call Center Representative is a front-line service position aiding Wyoming Benefits Management System and Services (WY BMS) members and providers regarding programs, policies, and procedures.

HOUR

Company Overview:
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Job Summary and Responsibilities:
Acentra Health is looking for a Call Center Representative to join our growing team. Job Summary:This Call Center Representative is a front-line service position aiding Wyoming Benefits Management System and Services (WY BMS) members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards.  *This position is located in Cheyenne, Wyoming. Responsibilities:<ul><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Available to work from 7:00 AM to 6:00 PM Mountain Time on all State business days, Monday through Friday (excluding Wyoming State holidays)</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Accurately respond to inbound phone calls and processing provider and member inquiries and requests into the appropriate system and database</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Under general supervision resolve customers’ service or billing complaints by demonstrating sound judgement</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Contact customers to respond to complex inquiries or to notify them of claim investigation results and any planned adjustments</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Under general supervision resolve customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Refer unresolved customer grievances, appeals, and claim resolution to designated departments for further investigation</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Actively listens and probes callers in a professional and timely manner to determine purpose of the calls</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Under general supervision research and articulately communicate information regarding member eligibility, benefits, services, claim status, and authorization inquiries to callers while maintaining confidentiality</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Assume full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal)</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Educate providers on how to submit claims and when/where to submit a treatment plan</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Under general supervision perform necessary follow-up tasks to ensure member or provider needs are completely met</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Support team members and participate in team activities to help build a high-performance team</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Thoroughly documents customers' comments/information and forwards required information to the appropriate staff</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Escalate calls to Call Center Lead when necessary</li><li style="margin:0in 0in 0in 0px;font-size:12pt;font-family:'times new roman' , serif">Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules</li></ul>

Qualifications:
Required Qualifications/Experience: <ul><li>High School graduate or GED</li><li>At least 1 year of customer service-related experience</li><li>Previous experience with computer applications, such as Microsoft Word and PowerPoint</li><li>Must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills</li><li>Must be able to maneuver through various computer platforms while verifying information on all calls</li><li>Must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment</li></ul> Preferred Qualifications/Experience: <ul><li>Bilingual Spanish speaking</li><li>Call center experience</li><li>Healthcare industry experience</li><li>Medicaid experience</li></ul> Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Benefits Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more. Compensation The pay range for this position is listed below.  “Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.” Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team <a href="https://acentrahealth-my.sharepoint.com/personal/jayson_miller_acentra_com/Documents/Documents/JD's/Visit%20us%20at%20Acentra.com/careers/" rel="noopener nofollow noreferrer" target="_blank">Visit us at Acentra.com/careers/</a> EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. #LI-AF1

Pay Range:
USD $15.46 - USD $19.33 /Hr.

Spanish Jobs in Iron Mountain, WY

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Spanish Jobs in Iron Mountain, WY

Spanish Bilingual Limited Service Customer Service Representative Maximus

RN Health Coordinator (bilingual, temporary, remote) Maximus

Call Center Representative Acentra Health, LLC

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