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Member Services Representative

Company: Erickson Living Senior Care LLC
Location: Catonsville
Posted on: May 3, 2021

Job Description:

Charlestown is a beautiful 110-acre continuing care retirement community located just minutes from Baltimore in the charming neighborhood of Catonsville, Maryland. We're part of a growing network of communities managed by Erickson Living, a national provider of senior living and health care with campuses in 11 states-and growing.Charlestown is looking for everyday heroes who want to make a real impact in the lives of seniors. If you're ready to take your career to new heights, join us. In addition to a rewarding career, you'll enjoy an industry-leading total rewards package that includes a competitive salary, an impressive package of health and dental benefits, paid time off and volunteer hours, tuition reimbursement, 401(k) with employer contribution, opportunities for career growth and advancement, and much more!The Member Services Representative supports the Erickson Advantage Plan as a member service liaison and assists care coordination inclusive of: telephone triage, referral service arrangement, risk assessment and scoring, production of reports, authorizing services for members, assisting and facilitating as needed to meet the health care and wellness needs of the Erickson Advantage Plan members. The Member Services Representative serves as a resource for members who require assistance with administrative issues related to their Plan membership including facilitating resolution of claims, premium billing and enrollment issues in collaboration with Evercare/United Healthcare partners.How you will make an impact:Manage inbound calls and walk-in contacts with members, responsible parties and providers/vendors for the Erickson Advantage Member Services and Care Coordination Office at the Erickson community, and documents all contacts in the Touch paper Call Tracking System and Canopy Clinical System as appropriateAct as a primary resource to health plan members in problem resolution collaborating with the United Healthcare Service Center and other Evercare/United points-of-contact Arrange for order/delivery of medical equipment, supplies, and services as requested by the Community Care Coordinator or the Primary Care Physician.Manage the new Member Welcome Process by performing initial enrollment contact with new health plan members, reviewing the benefit package, scheduling home visits to address issues not manageable by telephone, and managing assessment survey process.Serve as a resource for Erickson Living staff about Erickson Advantage benefits and operations through participating in community-wide and departmental meetings, and establishing/maintaining positive working relationships with key members of the community team; Medical Center, Resident Life, Community Transportation, Wellness Center, etc.Manage distribution of predefined health plan material including mailing, follow up, and data entry of results as appropriate.What we offer:A "career for life" approach to professional and personal development forour greatest asset, our employees.A culture of diversity and inclusion, which builds on our values, vision and mission.Onsite wellness visits and sick care available for all employees over 18 years of ageTuition reimbursement, certification reimbursement and student loan refinancing partnership programs are available.Exceptional medical, dental, vision, 401K and concierge employee health and wellness programs.PTO and volunteer hoursWhat you will need:Previous experience in healthcare or insurance environment required; 4-6 years experience required..Customer service experience required - 1-3 years.AA (Associates of Arts) or related degree required.Erickson Living, its affiliates, and managed communities are Equal Opportunity Employers and are committed to providing a workplace free of unlawful discrimination and harassment on the basis of race, color, religion, sex, age, national origin, marital status, veteran status, mental or physical disability, sexual orientation, gender identity or expression, genetic information or any other category protected by federal, state or local law.

Keywords: Erickson Living Senior Care LLC, Catonsville , Member Services Representative, Other , Catonsville, Maryland

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