Medical Management Support Specialist (Bilingual Preferred)

Imagine360; United States; Remote; USD 36,000 - 48,000; Full time

Job summary

Imagine360 is seeking a detail-oriented Medical Management Support Specialist to join its remote team. This role provides administrative support to the Medical Management department by assisting supervisors, managers, and clinical teams with non-clinical tasks and operational activities.

The successful candidate will support case management processes, coordinate documentation, communicate with providers and members, maintain reports, and ensure HIPAA compliance.

Qualifications

• High School Diploma or equivalent required.
• 0–1+ years in administrative support.
• Proficient with Microsoft Office (Word, Excel, PowerPoint).
• Able to navigate internet-based systems and databases.
• Strong attention to detail and accuracy.
• Excellent written and verbal communication skills.
• Bilingual Spanish communication preferred.

Responsibilities

• Provide administrative support to Medical Management supervisors, managers, and clinical teams.
• Assign cases to appropriate clinical staff per approved guidelines.
• Communicate with healthcare providers and vendors to collect required documentation.
• Conduct non-clinical outreach calls to members using approved scripts.
• Support Stop Loss communication by preparing and sending required documentation.
• Monitor department email inboxes and direct communications to the right team members.
• Prepare internal and external reports as assigned.
• Maintain educational resources and inventory for the department.
• Mail program-related letters and materials to members.
• Process returned mail and maintain accurate records.
• Assist with organizing meetings, training sessions, and department activities.
• Process participant assessments and support overall healthcare operations.
• Follow HIPAA/PHI guidelines and maintain confidentiality.

Skills

Attention to detail

Excellent written and verbal comms

Bilingual Spanish (preferred)

Education

High School Diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Imagine360 is seeking a detail‑oriented Medical Management Support Specialist to join its remote team. This role provides administrative support to the Medical Management department by assisting supervisors, managers, and clinical teams with non‑clinical tasks and operational activities. The successful candidate will support case management processes, coordinate documentation, communicate with providers and members, maintain reports, and ensure compliance with HIPAA and company procedures. Bilingual Spanish‑speaking candidates are preferred, but not required.

Key Responsibilities:

• Provide administrative support to Medical Management supervisors, managers, and clinical teams.
• Assign cases to appropriate clinical staff based on approved guidelines.
• Communicate professionally with healthcare providers and vendors to collect required documentation.
• Conduct non‑clinical outreach calls to members using approved scripts.
• Support Stop Loss communication by preparing and sending required documentation.
• Monitor department email inboxes and direct communications to the appropriate team members.
• Prepare internal and external reports as assigned.
• Maintain educational resources and inventory for the department.
• Mail program‑related letters and educational materials to members.
• Process returned mail and maintain accurate records.
• Assist with organizing meetings, training sessions, and department activities.
• Process participant assessments and support overall healthcare operations.
• Follow HIPAA/PHI guidelines and maintain confidentiality of member information.

Requirements:

• High School Diploma or equivalent is required.
• 0–1+ years of experience in an administrative support role.
• Experience using Microsoft Office applications including Word, Excel, and PowerPoint.
• Ability to navigate internet‑based systems and database software.
• Strong attention to detail and accuracy.
• Excellent written and verbal communication skills.
• Ability to prepare reports, manage documentation, and follow established procedures.
• Bilingual Spanish communication skills are preferred.

Strong knowledge of:

• Microsoft Office, Word, Excel, and PowerPoint
• Healthcare administrative support processes
• HIPAA compliance and confidential data handling