Bilingual Care Support Coordinator — Spanish

HealthFirst; East Windsor Hill (CT); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

401k contributions

Incentive and recognition programs

Job summary

Healthfirst is seeking a Support Coordinator to assist care/case managers with non-clinical tasks, including creating cases and coordinating events. You will perform telephonic outreach to members, providers, and community organizations, handle member mailings, and support the processing of clinical requests.

You will be assigned to a clinical team and may have additional departmental duties. The role requires strong communication, ability to manage a large caseload, and experience in fast-paced

Qualifications

• Experience in a customer service environment.
• Experience working in a fast-paced environment with multiple priorities.
• Strong written and verbal communication skills.

Responsibilities

• Conduct outreaches for newly enrolled members to review services and requests.
• Review intake documents for pre-approved services and escalate discrepancies.
• Complete Welcome Onboarding and assessments and identify issues needing clinical escalation.
• Initiate and finalize authorization in Trucare for pre-approved services and DMEs.
• Document calls with members for benefit questions, scheduling, and grievances.
• Document calls with providers regarding authorizations, referrals, visits and care plans.
• Educate members and providers on requirements for approval of service requests.
• Manage a large caseload while communicating member needs and monitoring screenings.
• Coordinate with departments to reconcile onboarding issues.

Skills

Customer service

Communication

Multitasking

Education

High School diploma or GED

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Job description

Healthfirst is seeking a Support Coordinator to assist care/case managers with non-clinical tasks, including creating cases and coordinating events. You will perform telephonic outreach to members, providers, and community organizations, handle member mailings, and support the processing of clinical requests.

You will be assigned to a clinical team and may have additional departmental duties. The role requires strong communication, ability to manage a large caseload, and experience in fast-paced