Executive Administrative Assistant (Remote)
Stryker
Bilingual Support Specialist – English, Mandarin or Cantonese
Healthfirst
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $34,091 - $52,000 per year
Job Level
Mid-LevelSenior
About the role
- Conduct outreaches for newly enrolled members to review current and approved services, 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 issues or clinical risks for escalation
- Initiate and finalize authorizations in Trucare for preapproved services and DMEs; update and discontinue authorizations when applicable
- Handle and accurately document calls with members regarding benefits, appointments, assessments, service issues, and grievances
- Handle and accurately document calls with providers regarding authorizations, referrals, visits, tests, and faxed care plans
- Provide education to members and providers about approval requirements for service requests
- Manage a large caseload while communicating member issues and monitoring screenings to improve quality and cost outcomes
- Communicate with inter/intra-departments to reconcile onboarding issues
- Handle member mailings, fax clinical requests and approved service plans, and other non-clinical support tasks
Requirements
- 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
- 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
- English proficient bilingual who also speaks Spanish, Russian, Mandarin/Cantonese, French, Haitian Creole, Korean, Bengali, Punjabi, Hindi, or Urdu
- Demonstrated ability to document calls into a computer system
