Health Coordinator

Health Care Service Corporation; Albuquerque (NM); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health services provider is seeking a member support specialist for a telecommute role. This position involves contacting members about medical management programs and supporting clinical activities. Candidates should have experience with automated systems and managed care, along with strong communication and customer service skills. Competitive pay is offered, with an annual incentive bonus plan.

Benefits

Life insurance

Parental leave

Paid time off

Tuition reimbursement

401(k)

Qualifications

• 1 year of college and 2 years experience with automated systems OR 3 years experience with automated systems.
• Experience coordinating member needs and providing assistance.
• Knowledge of medical terminology and claims systems.

Responsibilities

• Contact members to inform and educate on medical management programs.
• Support clinicians in Medical Management department.
• Conduct research and perform data entry.

Skills

Customer service skills

Verbal and written communications skills

PC proficiency including Microsoft Office applications

Knowledge of medical terminology

Knowledge of medical claims systems

Education

1 year of college and 2 years experience with automated systems

1 year experience with managed care systems

Job description

Overview

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Benefits

• Life insurance
• Parental leave
• Paid time off
• Paid holidays
• Tuition reimbursement
• 401(k)

Job Summary

This position is responsible for contacting members to inform and educate them on our medical management programs; conducting research, performing data entry, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities.

Responsibilities

As described in the Job Summary above.

Qualifications

• 1 year of college and 2 years experience with automated systems OR 3 years experience with automated systems.
• 1 year experience with managed care system(s) or medical systems (i.e.; hospital or doctor office).
• Experience coordinating member needs, providing assistance to members, and analyzing member needs.
• Knowledge of medical terminology.
• Knowledge of medical claims systems.
• PC proficiency including Microsoft Office applications.
• Customer service skills.
• Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills to educate members on medical issues.

Preferred Qualifications

• College courses in computer science or the medical field.
• Prior Auth
• Medical Records

Role Details

This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.

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Referral

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency

Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Employment Statement

HCSC Employment Statement: We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range $17.75 - $27.83

Exact compensation may vary based on skills, experience, and location.