Bilingual Care Support Coordinator (Spanish)

Healthfirst; Pennsylvania; On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Life insurance

401k contributions

Job summary

Healthfirst seeks a Support Coordinator to assist care and case managers with non-clinical tasks, including creating cases and events, and performing telephonic outreach to members, providers, and community partners.

The role supports member communications, handles mailings and processing of clinical requests, and helps manage onboarding processes to improve service delivery and outcomes.

Qualifications

• High School diploma or GED equivalent.
• Experience in a customer service environment.
• Experience 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 as needed.
• Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments and identify issues requiring clinical escalation to a CM/PCM.
• Initiate and finalize authorization in Trucare for preapproved services and DMEs and update/ discontinue authorizations when applicable.
• Document calls with members regarding benefit questions/issues, scheduling, assessments, service issues and grievances.
• Document calls with providers regarding authorizations initiation/updates, referrals, visits, tests, and faxed care plans.
• Educate members and providers on requirements for approval of service requests.
• Manage a large caseload and monitor screening of members to improve quality and cost outcomes.
• Coordinate with Inter/Intra-departments to reconcile onboarding issues.

Skills

Customer service experience

Strong communication skills

Multitasking ability

Education

High School diploma or GED

Associate Degree/Certification in related field

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Microsoft Office Suite

MS Teams

Job description

Healthfirst seeks a Support Coordinator to assist care and case managers with non-clinical tasks, including creating cases and events, and performing telephonic outreach to members, providers, and community partners.

The role supports member communications, handles mailings and processing of clinical requests, and helps manage onboarding processes to improve service delivery and outcomes.