Why MediGold?
MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
What we offer:
Competitive compensation and benefits packages including medical, dental, and vision coverageRetirement savings account with employer match starting on day oneGenerous paid time off programsEmployee recognition incentive programTuition/professional development reimbursementRelocation assistance (geographic restrictions apply)Discounted tuition and enrollment opportunities at the Mount Carmel College of NursingWhy MediGold?
MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries across the United States. We’re dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
We know that exceptional patient care starts with taking care of our colleagues, so we invest in great people and all that we ask in return is that you come to work ready to make a difference and do the right thing.
What we offer:
Competitive compensation and benefits packages including medical, dental, and vision coverageRetirement savings account with employer match starting on day oneGenerous paid time off programsEmployee recognition incentive programTuition/professional development reimbursementRelocation assistance (geographic restrictions apply)Discounted tuition and enrollment opportunities at the Mount Carmel College of NursingAbout the job:
The Membership and Retention Specialist responds to complex member inquiries, resolving issues and complaints, and engaging in activities to promote member enrollment with Mount Carmel Health Plan's (MCHP's) Medicare Advantage insurance products (HMOs/PPOs).
What you'll do:
Relationship-based Care: Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system.Complies with internal policies, Center for Medicare and Medicaid Services (CMS), Ohio Department of Insurance (ODI), NCQA and all applicable Federal regulations.Conducts telephonic sales activities within the scope of licensure and regulatory requirements while consistently and accurately documenting such sales activities/inquiries within the designated software.Review sales calls for sales audit purposes.Proactively outreaches to members deploying retention efforts. The ability to initiate recovery actions in difficult situations required.Acts as liaison for members, prospects and plan representatives. Demonstrates positive role modeling and promotes brand awarenessAll other duties as assigned.What we're looking for:
Education: Minimum of high school education. Bachelor's Degree preferred or an equivalent combination of education and experience.Experience: Two (2) years of customer service experience. Experience and knowledge of governmental agencies and regulations, especially Medicare and the Centers for Medicare and Medicaid Services (CMS) desired.Effective Communication Skills; sales, retention and strategic thinking.Demonstrated knowledge and effective organizing multi-tasks, in a high volume, fast-paced team environment with the ability to incent sales of insurance products.PC proficient including word-processing, data entry, Microsoft office and various software.
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Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, physical disability or any other classification protected under local, state or federal law.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.