Healthcare Support Specialist

1 week ago


New York, New York, United States Health First Full time
Job Title: Support Specialist

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.
Requirements:
  • 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.
Preferred Qualifications:
  • 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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