Healthcare Support Specialist
1 week ago
We are seeking a highly skilled and detail-oriented Support Specialist to join our team at Health First. As a Support Specialist, you will play a critical role in ensuring the smooth operation of our healthcare services.
Key Responsibilities:- Conduct outreach calls to newly enrolled members to review their current services and identify any additional needs.
- Review intake documents for pre-approved services and escalate any discrepancies to the relevant teams.
- Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments to identify any issues or risk factors that require clinical escalations.
- Initiate and finalize authorizations in Trucare for pre-approved services and durable medical equipment (DMEs).
- Handle and accurately document calls to and from members and providers regarding benefit questions, service issues, and grievances.
- Provide education to members and providers on the requirements for approval of service requests.
- Manage a large caseload while communicating member issues or needs and monitoring screening to improve quality and cost outcomes.
- Communicate with internal teams to resolve onboarding issues.
- High School diploma or GED equivalent.
- Experience in a customer service environment.
- Experience working in a fast-paced environment with multiple priorities.
- Effective communication skills, both verbally and in writing.
- Associate Degree or Certification in a related field.
- Knowledge of medical terminology.
- Experience in managed care or other areas of the healthcare industry.
- Proficiency in Microsoft Office Suite applications.
- English proficiency with the ability to speak additional languages.
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Healthcare Support Specialist
1 month ago
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