Call Center Customer Service Representative
General Dynamics Information Technology
Cloud
Care Coordinator, SNP
Alignment Health
full-time
Posted on:
Origin: • 🇺🇸 United States • California
Visit company websiteSalary
💰 $41,472 - $62,208 per year
Job Level
Junior
About the role
- Conduct outreach to members to support referrals, authorizations, medication refills, provider appointments, and other care needs.
- Complete tasks and assessments in the Case Management system for hospital and SNF discharges.
- Collaborate with RN Case Managers to manage a panel of SNP members.
- Monitor alerts for changes in condition, admissions, discharges, and diagnoses, and communicate updates.
- Build trust with members, acting as a liaison and advocate for their care.
- Document interactions and maintain accurate member records.
- Support communication with providers, including faxing/mailing of documents and requesting medical records.
- Attend interdisciplinary team meetings and participate in member case reviews.
- Maintain confidentiality and meet all departmental deadlines.
Requirements
- Bilingual in Spanish or Vietnamese (required)
- Minimum 1 year of experience in a healthcare IPA setting
- Minimum 1 year of experience with referrals and prior authorizations
- High school diploma or GED (Bachelor’s degree preferred or 4 additional years of experience in lieu of degree)
- Basic computer skills (Microsoft Outlook, Word, Excel)
- Typing speed of 25+ WPM
- Strong verbal and written communication skills
- Organizational and time management skills with the ability to prioritize in a fast-paced environment
- Familiarity with Medi-Cal and managed care plans
- Remote work setup and ability to sit, talk, type, and use hands regularly
- Ability to occasionally lift up to 10 pounds
- Preferred: Medical Assistant or Medical Terminology certification
- Preferred: Previous training in medical terminology or clinical support roles
- Location: Remote – California (Outside Bay Area)
