Natalie Rivers Email and Phone Number

Medicare Outreach DivisionSocial Services Coordinators, Inc.Conducts telephonic outreach services to low-income Medicare beneficiaries enrolled in a contracted Medicare Advantage health plans. Works in a home-based environment assisting members in applying for Medicaid programs, including not limited to the Medicare Savings programs. Completes Medicare Savings Program applications for members and ensures that application packages are prepared for mailing to members on a daily basis. Works with the members to encourage them to return completed application and required verifications. May travel to and personally visit with Medicare Advantage plan members to help them obtain the required copies and complete the Medicare Savings application according to Social Service Coordinator's policies and procedures. Meets daily, weekly, and monthly production goals. Maintains current knowledge of state and federal regulatory requirements to adhere to strict compliance of all aspects of Social Service Coordinators' Outreach Operations. Ensure compliance with HIPAA regulations for handling sensitive and confidential materials.

Work from home, conducting telephonic outreach services to low-income Medicare beneficiaries enrolled in a contracted Medicare Advantage health plan. Assist members in the application and enrollment process for Medicaid programs, including but not limited to the Medicare Savings Programs.

Medicare Outreach DivisionSocial Service Coordinators, Inc.Responsible for conducting ongoing outreach services to low-income Medicare beneficiaries enrolled in a contracted Managed Care Organization, Medicare Advantage health plan through a home-based office environment. Work with outreach clients in completing the application and qualifying processes for Medicare Savings Programs. Duties include conducting intake services based upon correspondence and/or telephone inquiries. Analyze and assess clients for state Medicare eligibility criteria for Medicare Savings Programs. Conduct outreach activities by telephone or in person for initial analysis and assessment for eligibility for Medicare Savings Programs. Maintain effective case management of assigned member files. Coordinate activities relating to members and state Medicare administration personnel. Conduct home visits with clients by request for designated counties in the state of North Carolina.

Interview individuals that are seeking assistance under the provisions of the Medical Assistance programs. Gather data concerning family, health and financial standing; reviews family sources of income and other financial resources and compute family budget. Review declaration forms or other application forms and verifies this information through telephone calls and correspondence with local government representatives, business representatives, attorneys, physicians, dentists, neighbors and so forth. Maintain a case load and review all cases periodically to determine a family's or individuals continuing eligibility to receive assistance; revise budgets as changes occur in the household or income.

Adjust register checkups according to department standards. Calculating sales adjustments, verifying cash, sales, voids, vendor coupons, refunds, other store expense items, record changes correctly, reconstruct sales for stores with sales problems, monitor and report computer/register systems problems, and compute and prorate sales. Responsible for posting and finalizing general ledger entries, keying journal entries, and running queries. Distribute various period end reports requested by the Vice President. Responsible for researching P&L and Core questions for the department.