Bilingual Support Specialist — Spanish

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Incentive programs

Life insurance

401k contributions

Job summary

Healthfirst is seeking a dedicated Support Coordinator in the United States to assist care/case managers with non-clinical activities such as creating cases and events, and telephonic outreach to members, providers, and community organizations.

You will manage member communications, handle mailings and document authorizations in Trucare, supporting a specific clinical team with onboarding and ongoing care coordination. A high level of organization and clear communication is essential.

Qualifications

• High School diploma or GED required.
• Experience in a customer service environment.
• Strong verbal and written communication.
• Familiarity with Trucare, Salesforce, and MS Office.

Responsibilities

• Conduct outreaches for newly enrolled members to review current and approved services, DME and additional requests.
• Review intake documents for pre-approved services and elevate discrepancies as needed.
• Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments and identify any issues or risk factors requiring clinical escalations to a CM/PCM.
• Initiate and finalize authorization in Trucare for preapproved services and DMEs and update and discontinue authorizations when applicable.
• Handle and document calls to and from members regarding benefit questions/issues, scheduling appointments, assessments, service issues and grievances.
• Handle and document calls to and from providers regarding authorizations initiation/updates, referrals, visits, tests, and faxed care plans.
• Provide education to members and providers regarding requirements for approval of service requests.
• Manage a large caseload while communicating member issues or needs and monitoring screening of members to improve quality and cost outcomes.
• Communicate with Inter/Intra-departments regarding reconciling onboarding issues.
• Additional duties as assigned

Skills

Customer service

Communication

Multitasking

Education

High School diploma or GED

Tools

Trucare

Salesforce

SharePoint

DocuSign

Microsoft Office

Job description

Healthfirst is seeking a dedicated Support Coordinator in the United States to assist care/case managers with non-clinical activities such as creating cases and events, and telephonic outreach to members, providers, and community organizations.

You will manage member communications, handle mailings and document authorizations in Trucare, supporting a specific clinical team with onboarding and ongoing care coordination. A high level of organization and clear communication is essential.