CareMore Patient Relations Representative-5

How Will You Make An Impact & Requirements

• Key Responsibilities
• Serve as a primary point of contact for patients regarding insurance, benefits, and access-to-care questions
• Aid patients in understanding Medicare, Medicaid, and health plan benefits, eligibility, and coverage options
• Resolve patient concerns related to appointments, referrals, billing, and care coordination
• Advocate for patients by identifying and addressing barriers to healthcare access and treatment adherence
• Inform patients about available public assistance and healthcare support programs
• Assist patients with applications and documentation for eligible programs and services
• Support patient onboarding and orientation to CareMore services and programs
• Build strong relationships with patients and caregivers to foster trust and satisfaction
• Promote preventative care and encourage participation in health management programs
• Answer insurance and benefit-related questions
• Participate in team meetings, case reviews, and patient experience initiatives
• Support organizational goals related to patient satisfaction, retention, and quality outcomes
• Partner with clinic leadership and interdisciplinary teams to improve patient workflows and service delivery
• Support scheduling coordination, documentation, reporting, and operational processes as needed
• Maintain accurate patient records and ensure confidentiality in compliance with HIPAA standards
• Participate in quality improvement initiatives focused on patient experience and operational excellence
• Partner with SHIP/HICAP to educate SHIP on CareMore resources and understand available to our patients/Medicare beneficiaries
• Identify key community organizations who can contribute to the overall wellbeing of our membership
• Participate in community outreach to support organizational net growth

Qualifications

• Required Qualifications
• A High School Diploma or GED
• 3+ years of experience in healthcare operations, patient relations, customer service, or care coordination
• Experience working with Medicare, Medicaid, or managed care populations preferred
• Strong communication, interpersonal, and problem-solving skills
• Ability to manage multiple priorities in a fast-paced healthcare environment
• Proficiency in Microsoft Office Suite and healthcare systems/platforms
• Comfortable with public speaking, possess effective presentation skills

Preferred Qualifications

• Bachelor’s Degree in a related field
• Bilingual skills preferred (Spanish)

Core Competencies

• Patient-centered service
• Relationship building and communication
• Organizational and operational excellence
• Collaboration and teamwork
• Problem-solving and conflict resolution
• Adaptability and initiative
• Confidentiality and professionalism

Compensation Range

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.