Account Manager - ArchCare
New York, NY 10029
About the Job
Overview:Qualifications:
Overview:
ArchCare cares for people of all ages and faiths where they are most comfortable and best able to receive it – at home, in the community and in nursing homes. As the Continuing Care Community of the Archdiocese of New York, we see enhancing the lives of our elders and others who need extra help to stay healthy and live life to its fullest as more than just a job. To us, it’s a privilege and our calling.
Benefits/Perks:
- Includes accrued vacation days, sick days, and holidays.
- Participation in 403 (b)
- Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance
- Discounted memberships: Plum Benefits, NYSC Gym
- Pay for work-related eligible commuter expenses with pre-tax dollars
- Correspond directly with the prospective participants to provide plan education and qualification screening
- Schedule assessments and mail information to prospective participants
- Become an expert about PACE program eligibility requirements, services and benefits to accurately describe PACE offerings through lead generation process
- Obtain referral details to assess and determine appropriate next steps for expeditious enrollment processing
- Address eligibility issues, application processing and referrals; evaluate factors unique to each referral
- Work closely with referral sources, account managers, clinical nurses and provider relations to ensure all and tasks are efficiently completed associated with the enrollment process
- Maintain compliance with state, federal and PACE regulatory requirements
- Monitor and report performance measures to improve delivery and execution of onboarding procedures (CDPAS enrollment, acquisition of entitlements, logistical delivery of service plans, request for provider network recruitment, etc.)
- Collect and review completeness of all required documents for processing enrollment transactions and reconciliation of enrollment files
- Maintain knowledge of all applicable CMS, DOH, and PACE-specific guidelines, including organizational and departmental policies and procedures
- Maintain compliance with Medicaid, Medicare, and PACE regulations
Job Type: Full Time
Salary: $93,280 per year
Education Requirements
• Bachelors Degree
Experience Requirements
• 1-3 years experience in account management/sales, ideally for a Managed Care plan
Source : ArchCare