Care Coordination Support Specialist

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

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401k contributions

Life insurance

Job summary

Healthfirst in Texas is seeking a Support Coordinator to assist care/case managers with non-clinical tasks, including case creation, member outreach, and handling authorizations. The role involves telephonic outreach to members, providers, and community organizations, as well as managing mailings and documenting care plans.

You will work within a clinical team, support onboarding and assessments, and help reconcile issues across departments while delivering education on service requirements.

Qualifications

• High School diploma or GED equivalent.
• Experience in a customer service environment.
• Experience in a fast-paced environment with multiple priorities.
• Strong written and verbal communication with good grammar, spelling, and punctuation.
• Associate degree or certification in a related field.
• English proficient bilingual with Mandarin/Cantonese (preferred).
• Knowledge of medical terminology.
• Knowledge of Trucare, Salesforce, HHAXchange, DocuSign Epaces, Sharepoint.
• Experience in managed care or healthcare call center/care management.
• Experience with Microsoft Office Suite (Excel, Word, Outlook, MS Teams).
• Demonstrated ability to document calls in a computer system.

Responsibilities

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

Skills

Customer service

Communication skills

Multitasking

Documentation

Medical terminology

Education

High School diploma or GED

Associate degree/certification in related field

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Job description

Healthfirst in Texas is seeking a Support Coordinator to assist care/case managers with non-clinical tasks, including case creation, member outreach, and handling authorizations. The role involves telephonic outreach to members, providers, and community organizations, as well as managing mailings and documenting care plans.

You will work within a clinical team, support onboarding and assessments, and help reconcile issues across departments while delivering education on service requirements.