Member Care & Outreach Specialist

Healthfirst; New York (NY); Hybrid; USD 35,000 - 55,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401k contributions

Incentive and recognition programs

Life insurance

Job summary

Healthfirst in New York is seeking a Support Coordinator to assist care/case managers with non-clinical tasks, including outreach to members and providers, processing authorizations, and handling member mailings. The role requires coordinating with clinical teams and maintaining accurate documentation.

Responsibilities include reviewing intake documents, onboarding assessments, documenting calls, and supporting a large caseload while ensuring quality and cost outcomes.

Qualifications

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

Responsibilities

• Outreach to newly enrolled members to review services and requests.
• Review intake documents and escalate discrepancies.
• Complete Welcome Onboarding and related assessments.
• Initiate and finalize authorizations in Trucare for services/DMEs.
• Document calls with members and providers about benefits, appointments, issues, and grievances.
• Educate members/providers on service approval requirements.
• Manage a large caseload and coordinate with departments.
• Additional duties as assigned.

Skills

High School diploma or GED

Customer service experience

Multitasking in fast-paced environment

Effective written and verbal English

Education

Associate Degree/Certification in related field

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

MS Office Suite

Job description

Healthfirst in New York is seeking a Support Coordinator to assist care/case managers with non-clinical tasks, including outreach to members and providers, processing authorizations, and handling member mailings. The role requires coordinating with clinical teams and maintaining accurate documentation.

Responsibilities include reviewing intake documents, onboarding assessments, documenting calls, and supporting a large caseload while ensuring quality and cost outcomes.