Remote Social Service Specialist

Job description

Who We Are Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care. Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 Deloitte Technology Fast 500™, and has been recognized as 2026 Best in KLAS for ADT Notifications. Your Daily Mission The Social Service Specialist serves Centauri’s clients by working with client members/ patients by phone to address and respond to identified needs related to Social Determinants of Health (SDOH) not otherwise provided by the clients and/or Best Benefits or Premium Assist Services. Social Service+ Specialist will contact/respond to referred members/patients for the purpose of introducing Social Service+ services, provide information and direction related to benefits eligibility and application process, screen member/patient for interest in community social service resources, may also provide members/patients with printed information regarding benefits or social service resources. The Social Service+ Specialist will follow Centauri established processes to reconnect with members/patients to determine outcome of, and resolution of, members eligibility and application for local/state/federal social service benefits and ensure member/patient access to needed community social service resources. The Social Service+ Specialist will maintain current and active records of all member/patient contacts and effectively document interactions based on established Centauri procedures. The Social Service+ Specialist makes a warm transfer to identified local community agency to assist member /patient expedite services and may also make a warm transfer to the client as indicated by identified need and contractual procedure. Who You Are • High School Diploma or GED equivalent • 1+ years of experience working in a professional office & fast-paced environment • 1+ year working in Customer Service Center • At least one year of social services or health care experience desired • Proficient skills with MS Office and Windows operating system • Excellent telephone skills • Excellent analytical skills • Excellent interpersonal skills • Excellent written/verbal communication • Strong Literacy (grammar, spelling, math) • Basic knowledge of social services • Effective and empathetic phone communication • Knowledge and comfort engaging individuals of diverse cultural and ethnic backgrounds • Basic knowledge of issues and challenges faced by under served and vulnerable populations The Reality of the Role • Responds to calls from client’s members or patients requesting assistance with determining eligibility for benefits or access to community social services. • Engages members in standardized assessment to identify needs and eligibility for resources related to social determinates of health. • Research, using identified database(s), benefits/community resources available to meet specific person’s needs. • Provides options of resources to member and with members input, assesses which resource(s) will be accessible to member. Validates member’s understanding and recording of information provided. • Assists the member/patient in accessing identified resources which may include a warm transfer to the identified agency. • Where available, provides written information via email or mail to members/patient, identifying applicable social service community resources. • Communicates with members/patients via phone, and clarifies the details of Centauri Health Services, properly sets expectations for process and communication to ensure member understanding. • Leverages technology and account processing workflows; maintains data integrity with accurate and concise documentation in Centauri Health Services Compass systems and contracted resource systems. • Assists members and takes appropriate action to secure resources contracted by Centauri client. • Follows established workflow for member follow-up contact to determine outcome and resolution of member identified needs. • Provides warm transfer of member/patient to client as indicated by identified need outlined by contracted Centauri client. • Documents all member contact in Centauri Health Solutions database. • Communicates regularly and works effectively with supervisor and team to ensure that resource information is current and correct. Effectively maintains records of identified incorrect /outdated resource information. • Perform miscellaneous clerical tasks (fax, file, data entry, scan, index). Promptly take and return all calls. Answers questions regarding resources. Completes other duties as assigned. • Maintains positive professional relationship with client members / patients throughout resolution of identified problems. • Ensures member/patient satisfaction through scheduled follow-up contact to validate member/patient receipt of benefits/services. • Manage a high volume of outbound/inbound phone calls. • Performs miscellaneous administrative tasks as required. • Partners with leadership for continuation training Why You’ll Love Centauri (Our Promise to You) We believe that caring for our members starts with caring for our team, and we are committed to providing a rewarding environment where employees can grow, excel, and achieve both personal and professional goals. • Comprehensive medical, dental, vision, and prescription coverage • Wellness program supporting overall well-being • Company-paid basic life and AD&D insurance • 401(k) plan with company match • Tuition reimbursement opportunities • Paid time off for vacation and illness • Six paid company holidays • Floating holiday • Company-paid training and computer equipment • Performance-based bonus program • Paid time off for volunteer activities • Employee referral bonus program • Career development and training opportunities, including leadership growth Compensation Transparency Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate. Equal Employment Opportunity and Accommodation Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.