Remote Health Services Specialist – Care Coordination

Comagine Health; Portland (OR); Remote; USD 42,000 - 64,000; Full time

Job summary

Comagine Health is seeking a Health Services Specialist to support healthcare operations and ensure providers and members receive responsive, accurate service. This role emphasizes coordinating service requests, managing documentation, and contributing to non-clinical care coordination in a remote WA context.

You will work with clinical teams to process referrals, prior authorizations, and utilization reviews, while maintaining detailed records and delivering exceptional customer service.

Qualifications

• High school diploma or GED required.
• At least 2 years of related work or customer service experience.
• At least 1 year in a healthcare setting.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities with accuracy.
• Experience with computers, electronic records, and multiple software applications.
• Healthcare portal or EHR experience preferred.

Responsibilities

• Assist healthcare providers with submitting service requests and using provider portals.
• Coordinate referrals, prior authorizations, utilization reviews, and case management requests.
• Review documentation for completeness and accuracy and follow up as needed.
• Provide excellent customer service via inbound/outbound calls and inquiries.
• Enter data into electronic healthcare systems and maintain case files.
• Support utilization management and coordinate care management services.
• Collaborate with nurses, physicians, and other healthcare professionals to process requests.

Skills

Customer service

Communication skills

Detail orientation

Multitasking

Team collaboration

Computer literacy

Healthcare exposure

Remote work adaptability

Education

High school diploma or GED

Healthcare administration certification

Job description

Comagine Health is seeking a Health Services Specialist to support healthcare operations and ensure providers and members receive responsive, accurate service. This role emphasizes coordinating service requests, managing documentation, and contributing to non-clinical care coordination in a remote WA context.

You will work with clinical teams to process referrals, prior authorizations, and utilization reviews, while maintaining detailed records and delivering exceptional customer service.