Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange.In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions.Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement.Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country.Centauri has made the prestigious Inc.5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500(TM) list of the fastest-growing companies in the U.S.For more information, visit www.centaurihs.com.Role Summary :Premium Assist Specialists build relationships and work with health plan members and patients that are eager to learn more about Centauri's services and determine eligibility for benefits.PA Specialists interpret and clarify information such as eligibility requirements and application details, and also determine what additional support may be required.PA Specialists will initiate procedures to refer patient / member to other agencies for assistance as appropriate.The PA Specialist advocates and assists Medicare beneficiaries apply to and requalify for government assistance programs.The PA Specialist builds trusting relationships with members to provide critical application assistance.PA Specialists must be compassionate and understanding while providing patients and health plan members with the highest level of customer service.Role Responsibilities :Makes outbound and receives inbound calls providing detailed information about eligibility services and conducts eligibility screeningConducts telephonic outreach activities for members who need to apply or recertify and are potentially eligible for various Medicaid programs including the Medicare Savings ProgramsCollaborates with government offices to accurately complete the application and recertification processSecures documentation for Medicaid / MSP renewal applications if needed for membersInterviews patients / members via phone to gather personal / sensitive information in order to determine eligibility for various programsInterprets and explains information such as eligibility requirements and application detailsClarifies eligibility data with patient or memberCompiles, records, and evaluates personal and financial data in order to verify completeness and accuracyUtilizes the computer system to accurately complete the screening for eligibility and disposition the account as requiredInitiates procedures to refer patient / member to other agencies for assistance as appropriateInterviews patients / members via phone to gather personal / sensitive information in order to determine eligibility for various programsInterprets and explains information such as eligibility requirements and application detailsClarifies eligibility data with patient or memberCompiles, records, and evaluates personal and financial data in order to verify completeness and accuracyUtilizes the computer system to accurately complete the screening for eligibility and disposition the account as requiredMonitors actions to ensure goals are metUnderstand and agree to role-specific information security access and responsibilitiesEnsure safety and confidentiality of data and systems by adhering to the organizations information security policiesRead, understand and agree to security policies and complete all annual security and compliance trainingRole Requirements :Bilingual (Spanish and English); fully fluent reading, writing, speakingMedicare / Medicaid program experience, and experience with screening for Medicaid eligibility a strong plus1years in a Call Center environment, inbound and outbound1years experience working with call queues2years Customer Service experienceEmpathy and desire to help othersStrong decision making skillsAbility to provide a private and quiet work environment, and work independentlyStrong attention to detail and follow-through skillsExperience in healthcare or government benefits or agencies a plusCase management experience or related experience a plusHighly proficient in MS Office (Outlook, Word, Excel, Teams)Strong communication and customer service skillsAbility to track / monitor / retrieve information on callsWe believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals.We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities.This position is bonus eligible in accordance with the terms of the Company's plan.Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated.New employees in the mentioned categories may require proof of vaccination by their start date.The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.Factors which may affect starting pay within this range may include geography / market, skills, education, experience and other qualifications of the successful candidate.This position is bonus eligible in accordance with the terms of the Company's plan..