Care Coordination Support Specialist

HealthFirst; Williamstown (NJ); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401k contributions

Job summary

HealthFirst seeks a Support Coordinator to assist care/case managers with non-clinical tasks, including creating cases and events, plus telephonic outreach to members, providers and community organizations. The role is assigned to a specific clinical team and supports various department responsibilities.

You will manage member inquiries, document communications, and help with benefit questions, authorizations, and onboarding processes in a fast-paced environment while ensuring accurate records

Qualifications

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

Responsibilities

• Conduct outreaches for newly enrolled members to review services, DME, and requests.
• Review intake documents for pre-approved services and escalate discrepancies.
• Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments.
• Initiate and finalize authorization in Trucare for preapproved services and DMEs.
• Document calls to/from members to assist with benefit questions and scheduling.
• Document calls to/from providers regarding authorizations, referrals, and care plans.
• Educate members and providers on requirements for service approval.
• Manage a large caseload while monitoring member needs to improve outcomes.
• Coordinate onboarding issues with Inter/Intra-departments.
• Perform additional duties as assigned.

Skills

Customer service

Multitasking

Communication

Grammar & writing

Education

High School diploma or GED

Associate degree/certification

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

SharePoint

Microsoft Office Suite

Job description

HealthFirst seeks a Support Coordinator to assist care/case managers with non-clinical tasks, including creating cases and events, plus telephonic outreach to members, providers and community organizations. The role is assigned to a specific clinical team and supports various department responsibilities.

You will manage member inquiries, document communications, and help with benefit questions, authorizations, and onboarding processes in a fast-paced environment while ensuring accurate records