Member Support & Care Coordination Specialist

Healthfirst; New York (NY); Hybrid; USD 40,000 - 55,000; Full time

Job summary

Healthfirst, based in New York, seeks a Support Coordinator to assist care/case managers with non-clinical tasks, including case creation, event setup, and telephonic outreach to members, providers, and community organizations.

You will handle member communications, mailings, and the processing of clinical requests and Individual Health Care Plans on behalf of the care team, while managing a sizeable caseload with accuracy and professionalism.

Qualifications

• High school diploma or GED required.
• Experience in a customer service environment.
• Ability to manage multiple priorities in a fast-paced setting.
• Strong written and verbal communication skills.
• Experience with health care or managed care is a plus.

Responsibilities

• Create cases and events to support care managers.
• Provide telephonic outreach to members, providers, and community-based organizations.
• Handle member mailings and fax clinical requests and IHPs.
• Document calls with members and providers accurately.
• Coordinate authorizations and updates in Trucare.
• Onboard new enrollees and assess onboarding issues.
• Communicate with internal teams to reconcile onboarding issues.
• Maintain a large caseload with emphasis on quality and cost outcomes.

Skills

Customer service

Multitasking

Communication

Fast-paced environment

Education

High School diploma or GED

Associate Degree/Certification in related field

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Excel

Word

Outlook

MS Teams

Job description

Healthfirst, based in New York, seeks a Support Coordinator to assist care/case managers with non-clinical tasks, including case creation, event setup, and telephonic outreach to members, providers, and community organizations.

You will handle member communications, mailings, and the processing of clinical requests and Individual Health Care Plans on behalf of the care team, while managing a sizeable caseload with accuracy and professionalism.