Cognosante Application Specialist in McLean, Virginia

The Application Specialist contributes to the successful operation of the VA Enterprise Customer Service Center. The Application Specialist will provide customer services to members via the phone and data entry of application materials required by the State. Paid training provided; multiple shifts available during hours of operation (8:00 am – 8:00 pm).

Key responsibilities

  • Input accurately and completely documents within required timeframes established by the supervisor
  • Document actions taken related to documents in a customer relationship management (CRM) tool
  • Collect missing and/or replace illegible information from applicants/beneficiaries, reducing processing time and hard copy requests for additional information
  • Escalate complex calls to the State program staff according to standard operating procedures (SOPs)
  • Follow all approved SOPs and other applicable state and federal regulations
  • Inform clients by explaining information needed to complete the application; answering questions; providing information
  • Prepare and send documentation to the applicant/beneficiary requesting missing information
  • Perform follow up outbound calls, including second attempt calls to secure missing information
  • Maintains and improves quality results by adhering to standards and guidelines; recommending improved procedures
  • Updates job knowledge by studying new scripts; participating in educational opportunities
  • Effectively communicate with both internal and external clients
  • Consistently provide accurate and timely documentation of daily activities and results
  • Maintain accountability, reliability and dependability when performing all assigned job duties
  • Participate in training sessions required by the State and Cognosante

The successful candidate will also be expected to:

  • Pass a background check as required for certification
  • Successfully complete mandatory training and certification requirements in allotted timeframe
  • Be available to work flexible/nontraditional hours, such as early mornings and evenings
  • Employee is expected to undertake any additional duties as they are assigned by their Supervisor

Minimum Qualifications

  • Possess an Associates’ degree from an accepted and accredited college or university, or the equivalent of 1 year of customer service experience or experience in a healthcare field and knowledge of Medicaid and managed care programs
  • Ability to demonstrate proficiency in computer literacy, use of relevant computer applications such as MS Office, and use of other types of office technology

Additional Qualifications

  • Basic knowledge of healthcare and/or Medicaid programs
  • Strong communication skills
  • Excellent attendance record
  • Aptitude for learning and utilizing various software tools as needed
  • Advanced PC skills

Requisition ID: R0001324