Care Coordination Specialist - Member Support

Healthfirst; Tennessee; On-site; USD 35,000 - 55,000; Full time

Benefits offered by this job

Medical, Dental, Vision coverage

401k contributions

Life insurance

Job summary

Healthfirst in the United States is seeking a Support Coordinator to assist care managers with non-clinical tasks such as creating cases, scheduling events, and handling member inquiries by phone.

You will engage with members, providers, and community organizations, document calls, and help with authorizations in Trucare, while maintaining a large caseload and ensuring accurate records.

Qualifications

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

Responsibilities

• Outreach for newly enrolled members to review services and DME.
• Review intake documents for pre-approved services and escalate issues.
• Complete onboarding assessments and identify clinical escalation needs.
• Initiate and finalize authorizations in Trucare.
• Document calls with members and providers about benefits, appointments, and grievances.
• Provide education on service approval requirements.
• Manage a large caseload and monitor screenings to improve outcomes.
• Coordinate onboarding with other departments.
• Additional duties as assigned.

Skills

Customer service

Multi-tasking

Written & verbal communication

Professional grammar & spelling

Education

High School diploma or GED

Associate Degree/Certification

Tools

Trucare

Salesforce

HHAXchange

DocuSign eSpaces

Sharepoint

Monday.com

Job description

Healthfirst in the United States is seeking a Support Coordinator to assist care managers with non-clinical tasks such as creating cases, scheduling events, and handling member inquiries by phone.

You will engage with members, providers, and community organizations, document calls, and help with authorizations in Trucare, while maintaining a large caseload and ensuring accurate records.