Member Support & Care Coordination Specialist

Healthfirst; Tennessee; On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Life insurance

401k contributions

Incentive programs

Job summary

Healthfirst is seeking a dedicated Support Coordinator to assist care/case managers with non-clinical activities, including case creation, event setup, and telephonic outreach to members, providers, and community partners.

The role involves handling member mailings, processing authorizations in Trucare, and documenting communications with members and providers to support benefit questions and service approvals. Strong communication and multitasking are essential.

Qualifications

• High School diploma or GED equivalent.
• Experience in a customer service environment.
• Experience in a fast-paced environment requiring handling multiple priorities.
• Effective verbal and written communication with good grammar, spelling, and punctuation.

Responsibilities

• Assist care/case managers with non-clinical tasks such as creating cases and events.
• Conduct outreaches to review services and requests for newly enrolled members.
• Review intake documents for pre-approved services and escalate discrepancies.
• Initiate and finalize authorizations in Trucare for preapproved services and DMEs, updating authorizations as needed.
• Document calls with members and providers about benefits, appointments, inquiries, issues and grievances.

Skills

Customer service

Communication skills

Multi-tasking

Education

High School diploma or GED

Associate Degree/Certification in related field

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Microsoft Office Suite

Job description

Healthfirst is seeking a dedicated Support Coordinator to assist care/case managers with non-clinical activities, including case creation, event setup, and telephonic outreach to members, providers, and community partners.

The role involves handling member mailings, processing authorizations in Trucare, and documenting communications with members and providers to support benefit questions and service approvals. Strong communication and multitasking are essential.