Remote Care Coordinator

Healthfirst; United States; Remote; USD 40,000 - 55,000; Full time

Job summary

Healthfirst is seeking a Remote Support Coordinator to assist care/case managers with non-clinical activities such as creating cases and events, telephonic outreach to members, providers and community organizations, and handling member mailings and authorizations.

The role is assigned to a specific clinical team (eg. Care Management, Utilization Management, Behavioral Health) and may include additional departmental responsibilities. Strong communication and organizational skills are essential.

Qualifications

• High School diploma or GED is required.
• Experience in a customer service environment.
• Ability to handle multiple priorities in a fast-paced setting.
• Excellent verbal and written communication skills.

Responsibilities

• Assist care/case managers with non-clinical activities such as creating cases and events.
• Provide telephonic outreach to members, providers and community-based organizations.
• Handle member mailings, faxing clinical requests and care plans when applicable.
• Manage education to members and providers regarding service request approvals.
• Document calls and interactions accurately to support benefit questions and grievances.
• Coordinate with departments to resolve onboarding issues and maintain quality outcomes.
• Handle and review pre-approved services and DMEs in the care process.
• Support a large caseload with strong organizational and communication skills.

Skills

Customer service

Effective communication

Multitasking

Education

High School diploma or GED

Tools

Trucare

Salesforce

HHAXchange

DocuSign Epaces

Sharepoint

Job description

Healthfirst is seeking a Remote Support Coordinator to assist care/case managers with non-clinical activities such as creating cases and events, telephonic outreach to members, providers and community organizations, and handling member mailings and authorizations.

The role is assigned to a specific clinical team (eg. Care Management, Utilization Management, Behavioral Health) and may include additional departmental responsibilities. Strong communication and organizational skills are essential.