Bilingual Support Specialist (Spanish) | Care Coordination

HealthFirst; New Jersey; On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401k contributions

Job summary

HealthFirst is hiring a Support Coordinator to assist care/case managers with non-clinical tasks such as creating cases and events, and performing telephonic outreach to members, providers, and community partners.

You will review intake documents, initiate authorizations, document calls, and educate members and providers on service requirements while managing a large caseload to improve quality and cost outcomes.

Qualifications

• High School diploma or GED required.
• Experience in a customer service environment.
• Ability to manage multiple priorities in a fast-paced setting.
• Strong written and verbal communication skills.

Responsibilities

• Assist care/case managers with non-clinical activities such as creating cases and events.
• Provide telephonic outreach to members, providers and community-based organizations.
• Handle member mailings, fax clinical requests, and health plan documents.
• Review intake documents for pre-approved services and elevate discrepancies as needed.
• Initiate and finalize authorizations in Trucare for preapproved services and DMEs.
• Document calls with members and providers regarding questions, appointments, and grievances.
• Educate members and providers on requirements for approval of service requests.
• Manage a large caseload and monitor patient screening to improve outcomes.
• Coordinate onboarding issues with Inter/Intra-departments.

Skills

Customer service experience

Multitasking in fast-paced environment

Effective verbal and written communic

Spanish bilingual (preferred)

Education

High School diploma or GED

Associate Degree/Certification (preferred)

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Microsoft Office Suite (Excel, Word, Outlook, MS Teams)

Job description

HealthFirst is hiring a Support Coordinator to assist care/case managers with non-clinical tasks such as creating cases and events, and performing telephonic outreach to members, providers, and community partners.

You will review intake documents, initiate authorizations, document calls, and educate members and providers on service requirements while managing a large caseload to improve quality and cost outcomes.