Bilingual Spanish Support Specialist

🔥 5 minutes ago

🦌 Connecticut, New Jersey, +1 more states – Remote

🦌 Connecticut – Remote 🏖️ New Jersey – Remote 🔔 Pennsylvania – Remote

💵 $40.2k - $54.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💝 Customer Support

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Healthfirst

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1993

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Healthfirst is a health insurance provider dedicated to helping New Yorkers access affordable health coverage for individuals and families. With over 30 years of experience, Healthfirst offers a range of plans including Medicaid managed care, Medicare Advantage, long-term care, and essential health plans. The company focuses on providing quality healthcare options, comprehensive benefits, and support to ensure members can maintain their health and well-being.

📋 Description

• 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 outreach to newly enrolled members to review current and approved services, DME, and additional requests • Review intake documents for pre-approved services and escalate discrepancies • Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments and identify issues or risk factors requiring clinical escalation • Initiate, finalize, update, and discontinue authorizations in Trucare for preapproved services and DMEs • Document calls regarding benefit questions, appointments, assessments, service issues, grievances, authorizations, referrals, visits, tests, and care plans • Educate members and providers regarding service-request approval requirements • Manage a large caseload and monitor member screening to improve quality and cost outcomes • Communicate with inter/intra-departments regarding onboarding issues • Perform additional duties as assigned

🎯 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 • English proficient bilingual who also speaks Spanish • 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

• Medical coverage • Dental coverage • Vision coverage • Incentive and recognition programs • Life insurance • 401k contributions • Competitive compensation and benefits package