[Hiring] Support Specialist-1 @HealthFirst

Other Jobs To Apply

Role Description

The Support Specialist is responsible for assisting the primary care/case managers (PCM/CM) with non-clinical activities such as:

  • Providing telephonic outreaches to members for completion of service assessments
  • Outreaches to providers and community-based organizations regarding service initiation and/or continuation
  • Handling member mailings
  • Faxing clinical requests and approved authorized service plans

Duties and Responsibilities:

  • Conduct outreaches for 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 and identify any issues or risk factors that require clinical escalations to a CM/PCM
  • Initiate and finalize authorization in Trucare for preapproved services and DMEs and update and discontinue authorizations when applicable
  • Handle and accurately document calls to and from members to assist with benefit questions/issues, schedule appointments, assessment inquiries, service issues and grievances
  • Handle and accurately document calls to and from providers regarding authorizations initiation/updates, referrals, visits, tests, and faxed care plans
  • Provide education to members and providers regarding requirements for approval of service requests
  • Manage a large caseload while communicating member issues or needs and monitoring screening of members effectively to improve quality and cost outcomes
  • Communicate with Inter/Intra-departments regarding reconciling onboarding issues
  • Additional duties as assigned

Qualifications

  • High School diploma or GED equivalent
  • Experience in a customer service environment
  • Experience working in a fast-paced environment that requires handling multiple priorities simultaneously
  • Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills

Requirements

  • Associate Degree/Certification in a related field (preferred)
  • Knowledge of medical terminology (preferred)
  • Knowledge of Trucare, Salesforce, HHAXchange, DocuSign Epaces, Sharepoint (preferred)
  • Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department (preferred)
  • Experience with Microsoft Office Suite applications including Excel, Word, Outlook, and MS Teams (preferred)
  • English proficient bilingual who also speaks Spanish, Russian, Mandarin/Cantonese, French, Haitian Creole, Korean, Bengali, Punjabi, Hindi, or Urdu (preferred)
  • Demonstrated ability to document calls into a computer system (preferred)

Benefits

  • Medical, dental and vision coverage
  • Incentive and recognition programs
  • Life insurance
  • 401k contributions (subject to eligibility requirements)

Company Description

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, 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.

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@Healthfirst.org or calling 212-519-1798.

Healthfirst will never ask you for money during the recruitment or onboarding process.

Back to blog

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...