Duties and Responsibilities include but not limited to:
● Provide exceptional service to patients and their families with professionalism and empathy.
● Answer and route incoming calls accurately to appropriate departments or team members.
● Respond to common patient and customer inquiries in a timely, courteous manner.
● Address, resolve, or escalate patient concerns as appropriate.
● Contact patients and assist them with Managed Long-Term Care (MLTC) applications and related needs.
● Manage extensive phone and email communications daily with patients, caregivers, and insurance representatives.
● Verify eligibility and benefits for Medicare, Medicaid, Commercial, and Managed Care insurances using online portals and/or direct calls.
● Submit and track referrals to insurance companies and monitor case progress until completion.
● Enter and maintain accurate data for new cases; follow up on authorizations as needed.
● Build and maintain positive relationships with community partners and referral sources.
● Ensure compliance with Medicaid, HIPAA, and agency policies at all times.
Qualifications and Requirements
● Fluent in English and Mandarin (Required), Cantonese speaking preferred.
● Excellent customer service, communication, and interpersonal skills.
● Organized, detail-oriented, and able to manage multiple priorities.
● Proficient in Microsoft Office and Adobe PDF editing.
● Familiarity with Medicaid and MLTC processes (ePACES, Maximus, MLTC enrollment) preferred.
● Ability to learn quickly and adapt to new processes
● 1+ year experience as an Intake Coordinator or in related customer service role preferred.
● Experience with HHA Exchange preferred.
● High school diploma or higher required.
Language:
● English (Required)
● Mandarin (Required)
● Cantonese (Preferred)
Work Location: Flushing
Work authorization:
● United States (Required)
Job Type: Full-time
Benefits:
• 401(k) • Health insurance • Paid time offWork Location: In person
KCM manages the staffing and talent acquisition for three established Long-Term Home Health Care Agencies: ABI, ATD, and Life. Our agencies specialize in providing essential home care services to the Chinese American community in New York City and Long Island.