SSBCI Specialist

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Full Time Doral, FL, US

POSITION SUMMARY:

The SSBCI (Special Supplemental Benefits for the Chronically Ill) Specialist plays an integral role in the product development of Medicare Advantage (this includes the evaluation of SSBCI benefit). As the SSBCI Specialist, you will be responsible for tracking the special supplemental benefits for the chronically ill members/ enrollees and supporting the member services team. The SSBCI Rewards program aims to incentivize and encourage our members to proactively participate in health checks, screenings, and other preventives healthcare activities.

Position is FULLY ONSITE Monday-Friday from 8AM-5PM.

Location:9250 NW 36th St, Miami, FL 33178.

** BILINGUAL IN ENGLISH AND SPANISH IS REQUIRED**

ESSENTIAL DUTIES AND RESPONSIBILITIES

To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to:

• Answer calls for members and educate the members on how the program works.
• Tracking member participation and generating reports.
• Collaborating with healthcare providers and internal teams for program tracking.
• Keep accurate records of the program’s performance.
• Ensuring accurate data entry into the Sales Portal.
• Conducting outbound calls for address verification.
• Ensuring accurate data entry into the Sales Portal.
• Contact providers to validate rewards activities.
• Scan and process mail in coupons.
• Inputting data into computer systems.
• Work with provider relations to help them educate the team on the proper program function to ensure they submit them correctly, also with the Sales team and Member services to help member experience overall.
• Collaborates with other team members and member services team to develop and support benefits, and programs that drive membership growth, and improve member satisfaction.

Qualifications and

Education:

• High school diploma or equivalent, plus one year of healthcare experience.
• Proficient in data entry and Microsoft Office.
• Knowledge of healthcare laws, regulations, and HIPAA.
• Strong organizational, communication, and problem-solving skills.
• Ability to work with the elderly and those with sensory impairments.
• Effective under pressure and in fast-paced environments.
• Fluency in both Spanish and English.

Performance Measurements:

• Duties accomplished at the end of the day/month
• Attendance/Punctuality.
• Compliance with Company Regulations.
• Safety and Security.
• Quality of work.

WORKING CONDITIONS

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• The noise level in the work environment is usually moderate.
• Works in the field
• Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.

This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period.

The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year.

PHYSICAL…