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Support Specialist Bilingual English Mandarin or Cantonese
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Job Description
- Req#: R020852
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $52,000
- Comprehensive benefits package including medical, dental, and vision coverage
- Incentive and recognition programs to reward employee contributions
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on member care and satisfaction
What to Expect (Job Responsibilities):
- Conduct outreach to newly enrolled members to review current and approved services, durable medical equipment (DME), and additional requests
- Review intake documents for pre-approved services and escalate discrepancies as needed
- Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments, identifying issues or risk factors for clinical escalation
- Initiate and finalize authorizations in Trucare for preapproved services and DMEs, updating and discontinuing as applicable
- Manage a large caseload while effectively communicating member needs and monitoring screening to improve quality and cost outcomes
What is Required (Qualifications):
- High School diploma or GED equivalent
- Experience in a customer service environment
- Ability to work in a fast-paced environment and handle multiple priorities simultaneously
- Effective verbal and written communication skills with good grammar, spelling, and punctuation
- Demonstrated ability to document calls into a computer system
How to Stand Out (Preferred Qualifications):
- Associate Degree/Certification in a related field
- Knowledge of medical terminology
- Experience in managed care or a healthcare Call Center environment or Care/Case Management Department
- Proficiency in Microsoft Office Suite applications including Excel, Word, Outlook, and MS Teams
- Bilingual proficiency in English and another language such as Spanish, Russian, Mandarin/Cantonese, French, or others
#HealthcareServices #CustomerSupport #CareerOpportunity #CompetitivePay #BenefitsPackage
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