Description and Requirements The Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; providing telephonic outreach to members, providers and community-based organizations; handling member mailings; faxing clinical requests and Individual Health Care Plans on behalf of the care/case managers. The Support Coordinator is assigned to a specific clinical team (such as Care Management, Utilization Management, Behavioral Health, etc.) and may have additional departmental responsibilities. - Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention.- Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans.- Documents accurate member information in compliance with our internal procedures.- Manages an average caseload of 200 cases.- Timely communicates member issues or needs and monitors screening of members effectively to improve quality and cost outcomes.- Escalates calls as necessary- Additional duties as assigned. Minimum Qualifications: High School diploma or GED. Preferred Qualifications: Basic Microsoft Word and Excel skills. Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese. Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department. Demonstrated ability to document calls into a computer system. Knowledge of medical terminology. Regulatory or Compliance activities: n/a License or Certification: n/a
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $39,208 - $52,000
All Other Locations (within approved locations): $34,091 - $49,920
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.