Northwell Health Service Connector, Customer Care Center in Greenvale, New York

Req Number 0015TJ

Job Category Managed Care

Job Description

Provides assistance and information to CareConnect providers, members and/or customers regarding products and services. Meets with members and/or customers face-to-face to address inquiries and resolves issues. Maintains client and broker relationships and fulfills customer needs, resolves issues and ensures customer satisfaction. Interface inter-departmentally within other areas of CareConnect as needed to achieve customer satisfaction.

  1. Serves as liaison to service and retain broker/consultant relationships in support of sales within a team approach;

· Serves as the key liaison between CareConnect and broker to update and educate policy changes, network updates, online implementation, reporting capabilities and other e-tools through various communication channels.

· Participates in relationship building with broker’s through various strategies such as sporting events, lunches, social events, etc.

2. Meets with members and/or customers face-to-face to address inquiries and resolves issues;

  • Resolvesservice issues including but not limited to: benefit and eligibilityinformation, billing and payment issues, material requests andfulfillment, claims, etc.

  • Promotes products and services byestablishing, building and maintaining positive, professionalrelationships and interaction at all decision levels.

  • Provides input for new serviceprocesses and sales strategies.

  • Receives,screens, responds and provides follow-up to inquiries across all CareConnect platforms including networkphysicians, members, network staff, and hospital personnel.

  1. Facilitates sales and enrollment process for new individual exchange business;

· Interfaces with potential consumers and conducts face-to-face enrollments, when appropriate.

· Enrolls members through CareConnect website and New York State Health Exchange.

· Acts as a resource to Connectors when guidance is needed during the enrollment process.

4. Assists with orientation of servicing staff. Acts as a role model for new staff and facilitates staff development.

5. Performs related duties as required.

*ADA Essential Functions


· Bachelor’s Degree in Customer Service Management, Business Administration, Healthcare Administration or related field, required.

· New York State Insurance license required within six (6) months of entry into position.

· Minimum of three (3) years health insurance administration experience, required. Customer service experience, preferred.

· Sales presentation skills, required.

Proficiency in Microsoft Office applications.