
Healthcare Support Specialist
2 days ago
Improve health outcomes by connecting individuals with the care and resources they need to feel their best. Our organization is committed to providing comprehensive benefits, career development opportunities, and a culture guided by inclusion.
As part of our clinical support team, you will make every contact informative, productive, and positive for our members and providers. You will have the opportunity to do live outreach, educating members about program benefits and services while also helping to manage member cases.
Primary Responsibilities:
- Manage member intake and admission/discharge information post notification
- Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers
- Process incoming and outgoing referrals and prior authorizations, including intake, notification, and census roles
- Provide triage and care coordination notification cases for non-clinical assessment/intervention
- Handle resolution/inquiries from members and/or providers
This is a high-volume customer service environment where you will need to be efficient, productive, and thorough dealing with our members over the phone. A flexible schedule that includes evening hours is required.
Required Skills and Qualifications:
- High School Diploma or Equivalent
- 1+ years of customer service experience analyzing and solving customer problems
- Ability to create, edit, save, and send documents utilizing Microsoft Word and Excel
- Ability to type and talk at the same time and navigate through multiple screens
Benefits:
We offer a range of benefits, including comprehensive training, professional growth opportunities, and a supportive work environment.
Others:
A flexible schedule that includes evening hours is required. We are looking for individuals who can thrive in a fast-paced environment and provide excellent customer service.
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