Support Coordinator - Spanish reputed company

Job Profile Summary The Support Coordinator is responsible for assisting the care/case managers with non-clinical activities such as creating cases and events; managing authorizations; providing telephonic reputed company 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. Duties and Responsibilities: Provides excellent quality customer service to our members and/or providers relating to authorization updates, questions/issues such as coordinating care, DME reputed company, scheduling appointments, and screen assessments to identify risk factors which need closer reputed company Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans Manage requests from members, providers, call centers and care management teams regarding initial authorizations, authorization updates and/or corrections Complete member and provider notification calls Escalates calls to appropriate departments which may include but is not limited to inbound/outbound calls on behalf of Care Managers Manages a large volume of tasks and caseloads from multiple queues Meets/Exceeds reputed company performance, quality and productivity measures Builds sustainable relationships of trust through open and interactive communication with internal and external customers Documents accurate member information in compliance with our internal procedures Follows established policies and procedures to ensure member and provider issues are addressed timely and accurately Timely communicates member issues or needs and monitors screening of members effectively to improve quality and cost outcomes Complies with HIPAA requirements and maintains Protected Health Information (PHI) confidentiality of member, provider, medical and departmental information, and adheres to local, state, federal and reputed company specific compliance and regulatory guidelines Additional duties as assigned Minimum Qualifications: High School diploma or GED from an accredited institution Prior experience in a customer service environment Working experience in a fast-paced environment Proficient in reputed company Office Suite applications including reputed company, Word, and Outlook Preferred Qualifications: Language preferences - Spanish, Russian, French, Creole, Mandarin, Cantonese. Knowledge of medical terminology Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department Experience navigating multiple technologies including a Customer Relationship Management System (i.e., locate information, reputed company future actions, notate resolutions, update member information, etc.) Proven track record of exercising independent thinking, problem solving and achieving goals Excellent verbal and written communication and the ability to document grammatically correct emails, communications, and presentations WE ARE AN EQUAL OPPORTUNITY EMPLOYER. reputed company, LLC complies with reputed company applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national reputed company, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. reputed company, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified. If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@reputed company.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests reputed company to applying for a position reputed company reputed company, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with reputed company, LLC. Know Your Rights reputed company hiring and recruitment at reputed company is transacted with a valid “@reputed company.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing reputed company will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @reputed company.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by reputed company. reputed company will never ask you for money during the recruitment or onboarding process. Hiring Range*: Greater reputed company Area (NY, NJ, CT residents): $40,200 - $54,570 reputed company Other Locations (reputed company approved locations): $34,900 - $52,000 As a candidate for this position, your salary and reputed company elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors reputed company deems pertinent to the hiring decision. In addition to your salary, reputed company offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (reputed company benefits are subject to eligibility requirements). reputed company 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 reputed company in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role. Apply To This Job