Care Coordination Support Specialist

HealthFirst; United States; Remote; USD 35,000 - 55,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

401(k) plan

Incentive programs

Life insurance

Job summary

HealthFirst is seeking a Support Coordinator to assist care/case managers with non-clinical activities, including creating cases, telephonic outreach, and processing authorizations and care plans. You will work with care teams and providers to support member services and outcomes.

The role requires strong communication, multitasking, and knowledge of health plan processes. We offer competitive benefits and a collaborative environment in a values-driven organization.

Qualifications

• High School diploma or GED equivalent.
• Experience in a customer service environment.
• Experience in fast-paced environment with multiple priorities.
• Strong written and verbal communication with good grammar.

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 issues needing clinical escalation.
• Initiate and finalize authorization in Trucare for preapproved services and DMEs and update/discontinue authorizations as applicable.
• Handle and document calls to/from members regarding benefit questions/issues, scheduling, assessments, service issues and grievances.
• Handle and document calls to/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/needs and monitoring screening to improve outcomes.
• Communicate with Inter/Intra-departments regarding onboarding issues.
• Additional duties as assigned.

Skills

Customer service

Communication skills

Multitasking

Verbal communication

Office software

Education

High School diploma or GED

Associate degree/certification in related field

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Job description

HealthFirst is seeking a Support Coordinator to assist care/case managers with non-clinical activities, including creating cases, telephonic outreach, and processing authorizations and care plans. You will work with care teams and providers to support member services and outcomes.

The role requires strong communication, multitasking, and knowledge of health plan processes. We offer competitive benefits and a collaborative environment in a values-driven organization.