SSBCI Specialist

SSBCI Specialist

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 preventive 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

• 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.
• 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 Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Performance Measurements

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

This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.

Employee Acknowledgement:

I have read this job description and understand what is expected of me while I occupy this role.