As a Complex Interactions Specialist, you have in-depth, complex interactions with beneficiaries, caregivers, and/or family members who are reporting specific instances of health care fraud, errors, and abuse. In this role you may act on behalf of a beneficiary to correct an error or refer suspected fraud and abuse to appropriate authorities. The individual situations may include review of personal information such as billing statements, and other related financial and health documents.
Complex Interactions Specialist Volunteers receive a SMP purchased cellphone to receive calls routed from the SMP Helpline. Complex Interactions Specialist volunteers sign up for shifts to cover the SMP Helpline and can range from 1-6 hours per week and are flexible depending on the volunteer's availability.
All positions require training and an orientation which is provided both in-person and online. We want to provide you with the information and background you’ll need to be knowledgeable and capable of responding to questions from members of the community. The volunteer roles also require a background check.
