Care Management Operations Specialist (Hybrid)

ElderServe Health Inc; New York (NY); Hybrid; USD 41,000 - 66,000; Full time

Job summary

ElderServe Health Inc is seeking an Operations Specialist to support Care Management and Member Services in a hybrid Queens, NY environment. The role emphasizes clerical, administrative, and customer service duties to coordinate member care plans and services.

The ideal candidate will be multilingual, have strong communication skills, and familiarity with healthcare processes, including Medicaid/Medicare. Training and collaboration with the clinical team are expected to ensure smooth operations.

Qualifications

• Fluent in multiple languages as required by role.
• Experience in healthcare environment is preferred.
• Knowledge of medical billing terminology is a plus.

Responsibilities

• Support care management and member services with clerical tasks.
• Handle member inquiries by phone and email and route issues for follow-up.
• Process service orders, authorizations, and coordination with clinical team.
• Verify documents and maintain HIPAA compliance.
• Provide back-up support to Member Services representatives when needed.
• Create a welcoming, respectful environment for patients and visitors.
• Maintain accuracy and timeliness in data entry and communications.

Skills

Multilingual

Customer service

Communication

Office software

Education

High School or GED

Tools

Microsoft Office

Job description

ElderServe Health Inc is seeking an Operations Specialist to support Care Management and Member Services in a hybrid Queens, NY environment. The role emphasizes clerical, administrative, and customer service duties to coordinate member care plans and services.

The ideal candidate will be multilingual, have strong communication skills, and familiarity with healthcare processes, including Medicaid/Medicare. Training and collaboration with the clinical team are expected to ensure smooth operations.