Job Description

 

Seeking Bilingual candidates for our Quincy, MA office.

 

JOB SUMMARY:

 

The primary goal of the Member Liaison is to efficiently and effectively manage the follow-up process of our Social Security applications and ensure we have collected the corresponding information/documentation to receive an approval on the applications submitted. Responsibilities include, but are not limited to:

 

 

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

 
     
  • Accountable for managing an entire caseload of pending applications to be processed and monitored daily.
  • Responsible for all member and government agency outreach activities that will drive an open application to a positive outcome (approval). These activities primarily include member and government agency calls and letters to complete outstanding verifications.
  • Maintain working relationships with government agencies and act as a liaison for members.
  • Responsible for following up with government agencies to obtain application status information and advocate for the expedition of a final decision.
  • Use reports and queries to manage and prioritize caseload and ensure benchmarks are being met.
  • Evaluate and initiate action on aging cases. Responsible for escalating problem cases when necessary.
  • Ensure data quality and work with supervisors as an active participant in identifying and resolving problems and inconsistencies.
  • Support supervisors in the implementation of new processes and training initiatives.
  • Provide an enhanced level of customer service to our members and clients.
  • Educate and counsel members on Social Security processes and respond to inquiries around the status of the application/approval.
  • Enter, update, and maintain demographic and application information in our proprietary database system while maintaining accuracy.
  • Responsible for updating the "Contact Log" in our proprietary database system to ensure outreach attempts, contacts, interactions, and assessments have been properly captured.
  • Accountable for processing rendered approvals and denials.
  • Responsible for preparing the corresponding support documentation for any appeal process as part of our Denial Management initiatives.
  • Assist in other team member training and provide feedback during cross training opportunities to enhance the department’s functionality, roles and training materials.
  • Participate in Department and HFI Committees and Projects as assigned by the Contact Center Operations Manager/Supervisor.
  • Other duties may be assigned.
 

 

MINIMUM REQUIREMENTS:

 
     
  • 4-year degree in related field or equivalent combination of education and experience.
  • Bilingual (English/Spanish), preferred.
  • At least 1 year of previous experience in a customer service/call center role, strongly preferred.
  • At least 1 year of previous experience in a healthcare setting, strongly preferred.
  • Familiarity with medical terminology, preferred.
  • Previous experience with health insurance, preferred.
  • Self-motivated, responsible, and accountable.
  • Identifies own learning needs and seeks appropriate assistance.
  • Excellent computer skills including: MS Office.
  • Ability to work well within a fast-paced, team-oriented environment.
  • Willingness and ability to work extra hours during a workweek and/or weekend as required.
  • Work Schedule: Full-Time Hours (40 hrs/week, flexible shift options between 8-8 pm).
 

 

EEO STATEMENT:

 

HFI is strongly committed to diversity and inclusion. We recognize the rich variety of backgrounds, experiences and points of view of a diverse staff that enhances both the quality of the services we provide and the excitement and innovative spirit of our work culture. We are committed to a policy of non-discrimination and equal employment opportunity for all employees and qualified applicants without regard to race, color, religious creed, national origin, ancestry, sex, age, disability, veteran’s status, sexual orientation and/or genetic information.   

 

We have multiple shift options: 8-4 pm, 9-5 pm, 10-6 pm, 11-7 pm and 12-8 pm Eastern Time.
40 hours per week

Application Instructions

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