Care Coordination & Support Specialist

HealthFirst; East Windsor Hill (CT); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Incentives & recognition

Life insurance

401k contributions

Job summary

HealthFirst in the Greater New York City Area is seeking a Support Coordinator to assist care managers with non-clinical tasks and conduct member outreach. The role involves handling intake, onboarding assessments, and documenting calls related to benefits, authorizations, and grievances.

You will educate members and providers on service requirements, manage a large caseload, and help monitor screening to improve outcomes across the network.

Qualifications

• High School diploma or GED equivalent.
• Experience in a customer service environment.
• Effective communication verbally and in writing with good grammar, spelling, and punctuation.
• Associate Degree/Certification in a related field.
• English proficient bilingual who also speaks Mandarin/Cantonese.
• Knowledge of medical terminology.
• Knowledge of Trucare, Salesforce, HHAXchange, DocuSign Epaces, Sharepoint.
• Experience in managed care or healthcare Call Center or Care/Case Management.
• Experience with Microsoft Office Suite (Excel, Word, Outlook, MS Teams).
• Proven ability to document calls into a computer system.

Responsibilities

• Assist care/case managers with non-clinical tasks such as case and event creation.
• Provide telephonic outreach to members, providers and community organizations.
• Fax clinical requests and IHCPs on behalf of care/case managers.
• Review intake documents for pre-approved services; escalate discrepancies.
• Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments.
• Document calls with members for benefit questions, scheduling, inquiries and grievances.
• Document calls with providers regarding authorizations, referrals, visits and care plans.
• Educate members and providers on service approval requirements.
• Manage a large caseload while monitoring and communicating member needs.
• Monitor screening to improve quality and cost outcomes.

Skills

Customer service

Verbal communication

Written communication

Medical terminology knowledge

Bilingual English Mandarin/Cantonese

Documentation skills

Microsoft Office familiarity

Education

High School diploma or GED

Associate Degree/Certification

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Job description

HealthFirst in the Greater New York City Area is seeking a Support Coordinator to assist care managers with non-clinical tasks and conduct member outreach. The role involves handling intake, onboarding assessments, and documenting calls related to benefits, authorizations, and grievances.

You will educate members and providers on service requirements, manage a large caseload, and help monitor screening to improve outcomes across the network.