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Support Specialist
Healthfirst. Assist care/case managers with non-clinical activities, including creating cases and events .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong communication skills and the ability to manage a large caseload while providing support to care/case managers. Proficient in documenting interactions and educating members about service-request approval requirements.
Highest-signal resume keywords
Customer Service ExperienceEffective Communication SkillsCase Management SupportTelephonic OutreachMulti-Priority Handling
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Case CreationEvent ManagementIntake Document ReviewAuthorization ManagementDocumentation of Calls
Soft Skills
Good GrammarSpelling SkillsPunctuation Skills
Tools & Technologies
Trucare
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
Care ManagementCommunity-Based OrganizationsDMEOnboardingMember Outreach
About the role
Key responsibilities & impact- Assist care/case managers with non-clinical activities, including 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 outreach to newly enrolled members regarding approved services, DME, and additional requests
- Review intake documents and escalate discrepancies
- Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments
- Initiate, finalize, update, and discontinue authorizations in Trucare
- Document calls involving benefit questions, appointments, assessments, service issues, grievances, referrals, visits, tests, and care plans
- Educate members and providers about service-request approval requirements
- Manage a large caseload and monitor member screening to improve quality and cost outcomes
- Communicate with inter/intra-departments to reconcile onboarding issues
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
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Incentive and recognition programs
- Life insurance
- 401k contributions
- Competitive compensation and benefits package