Healthcare Coordination Specialist
2 weeks ago
Company: TekWissen LLC
Position: Healthcare Coordination Specialist
Work Type: Remote
Department: Medical Assistance Inpatient Precertification
Position SummaryTekWissen LLC is a prominent provider of workforce management solutions across the United States and internationally. Our client operates within the health insurance sector, delivering a variety of healthcare coverage options including individual, family, dental, and vision plans tailored for employers.
Key ResponsibilitiesThe Healthcare Coordination Specialist will:
- Utilize medical terminology and possess a background in healthcare, such as experience as a nursing assistant or in a medical office.
- Deliver exceptional customer service with outstanding phone communication skills.
- Exhibit strong administrative capabilities and proficiency in PC applications.
The ideal candidate will:
- Provide high-quality, member-focused service by leveraging knowledge of healthcare plans, products, systems, and procedures to enhance member experience.
- Assist members in finding primary care physicians, specialists, and dental providers.
- Clearly articulate the benefits of wellness care management programs to members.
- Collaborate with nursing staff to research providers, eldercare options, and nursing facilities.
- Accurately document interactions in Care Advance.
- Engage effectively with members through inbound and outbound calls regarding clinical programs and services.
- Facilitate referrals and warm transfers to wellness and care management teams as necessary.
- Process provider requests and compliance inquiries efficiently.
- Manage various departmental communications and voicemails as required.
- Demonstrate the ability to work independently, apply critical thinking, and quickly learn new information.
- Possess bilingual skills in Spanish.
TekWissen LLC is committed to fostering a diverse workforce and is an equal opportunity employer.
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