Support Specialist

Healthfirst

Support Specialist managing non-clinical activities like outreach and documentation for primary care/case managers. Engaging with members and providers in a customer service capacity.

Posted 5/17/2026full-timeRemote • New York • 🇺🇸 United StatesMid-LevelSenior💰 $40,200 - $54,570 per yearWebsite

About the role

Key responsibilities & impact

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.

Requirements

What you’ll need

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
Knowledge of Trucare, Salesforce, HHAXchange, DocuSign Epaces, Sharepoint
Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department
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.

Benefits

Comp & perks

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions (all benefits are subject to eligibility requirements)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

customer servicemedical terminologyauthorization managementcase managementdocumentationmultitaskingcommunication skillsbilingual proficiency

Soft Skills

effective communicationorganizational skillsproblem-solvingattention to detailinterpersonal skills

Certifications

High School diplomaGEDAssociate DegreeCertification in a related field