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Support Specialist, Bilingual Mandarin, Cantonese
Healthfirst. Assist care/case managers with non-clinical activities such as creating cases and events .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in managing member communications and documentation within a healthcare setting, utilizing tools like Trucare and Salesforce. Capable of handling multiple priorities while providing exceptional customer service and support in care management.
Highest-signal resume keywords
Trucare ExperienceCustomer Service ExperienceBilingual in English and Mandarin/CantoneseKnowledge of Medical TerminologyMicrosoft Office Suite Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Documentation SkillsCase ManagementAuthorization ManagementTelephonic OutreachIntake Document Review
Soft Skills
Effective CommunicationOrganizational SkillsProblem-Solving Skills
Tools & Technologies
SalesforceHHAXchangeDocuSign EpacesSharepointMicrosoft ExcelMicrosoft WordMicrosoft OutlookMS Teams
Certifications & Qualifications
High School Diploma or GED Equivalent
Industry Keywords
Managed CareHealthcare IndustryCall Center EnvironmentCare Management
About the role
Key responsibilities & impact- Assist care/case managers with non-clinical activities such as creating cases and events
- Provide telephonic outreach to members, providers, and community-based organizations
- Handle member mailings
- Fax clinical requests and Individual Health Care Plans on behalf of care/case managers
- 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 issues or risk factors requiring clinical escalation
- Initiate and finalize authorization in Trucare for preapproved services and DMEs; update and discontinue authorizations when applicable
- Accurately document calls to and from members regarding benefit questions/issues, appointments, assessments, service issues, and grievances
- Accurately document calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans
- Educate members and providers regarding requirements for approval of service requests
- Manage a large caseload while communicating member issues or needs and monitoring screening effectively to improve quality and cost outcomes
- Communicate with inter/intra-departments regarding onboarding issues
- Perform 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
- English proficient bilingual who also speaks Mandarin/Cantonese
- 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
- Demonstrated ability to document calls into a computer system
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Incentive and recognition programs
- Life insurance
- 401k contributions
- Competitive compensation and benefits package