What are the responsibilities and job description for the SSBCI Specialist position at Solis Health Plans?
About us:
Solis Health Plans is a new kind of Medicare Advantage Company. We provide solutions that are more transparent, connected, and effective for both our members and providers. Solis was born out of a desire to provide a more personal experience throughout all levels of the healthcare journey. Our team consists of expert individuals that take pride in delivering quality service. We believe in a culture that collaborates and supports one another, and where success is interlinked, and each employee is valued. Please check out our company website at www.solishealthplans.com to learn more about us!
Position is FULLY ONSITE Monday-Friday from 8AM-5PM.
Location: 9250 NW 36th St, Miami, FL 33178.
**BILINGUAL IN ENGLISH AND SPANISH IS REQUIRED**
Full benefits package offered on the first on the month following date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!
Our company has doubled size, and we have experienced exponential growth in membership from 2,000 members to over 7,000 members in this year!
Join our winning Solis Team!
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.
Essential functions and Duties:
- 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.
What set us apart:
Join Solis Health Plans as a SSBCI (Special Supplemental Benefits for Chronically ILL) Specialist and become a catalyst for positive change in the lives of our members. At Solis, you will be part of a locally rooted organization deeply committed to understanding and serving our communities. If you are eager to embark on a purpose-driven career that promises growth and the chance to make a significant impact, we encourage you to explore the opportunities available at Solis Health Plans. Join us and be the difference!
