Bilingual Care Support Specialist - Spanish

HealthFirst; Pennsylvania; Sur place; USD 34 000 - 55 000; Plein temps

Avantages offerts par ce poste

Medical, dental and vision coverage

401(k) contributions

Incentive programs

Life insurance

Résumé du poste

HealthFirst is seeking a dedicated Support Coordinator to assist care/case managers with non-clinical activities, including creating cases, events, and telephonic outreach to members and providers. You will also process authorizations on behalf of the clinical team, handling member inquiries and documentation.

This role requires a High School diploma, strong communication skills, and the ability to juggle a large caseload in a fast-paced environment.

Qualifications

• High School diploma or GED required.
• Experience in a customer service environment.
• Ability to handle multiple priorities in a fast-paced environment.
• Excellent verbal and written communication with good grammar and spelling.

Responsabilités

• Conduct outreaches for newly enrolled members to review services, DME, and requests.
• Review intake documents for pre-approved services and flag discrepancies.
• Complete onboarding assessments and flag issues requiring clinical escalation.
• Initiate and finalize authorizations in Trucare for preapproved services and DMEs.
• Document calls with members regarding benefits, scheduling, and inquiries.
• Document calls with providers about authorizations, referrals, and care plans.
• Educate members and providers on requirements for service approvals.
• Manage a large caseload while monitoring and improving quality and cost outcomes.
• Coordinate onboarding issues with Inter-/Intra-departments.
• Perform additional duties as assigned.

Connaissances

Customer service

Communication skills

Multitasking

Formation

HS diploma or GED

Associate degree / Certification

Outils

Trucare

Salesforce

HHAXchange

DocuSign Epaces

SharePoint

Microsoft Office

Description du poste

HealthFirst is seeking a dedicated Support Coordinator to assist care/case managers with non-clinical activities, including creating cases, events, and telephonic outreach to members and providers. You will also process authorizations on behalf of the clinical team, handling member inquiries and documentation.

This role requires a High School diploma, strong communication skills, and the ability to juggle a large caseload in a fast-paced environment.