Job Overview
Location
Remote
Job Type
Full-time
Category
Operations
Date Posted
June 20, 2026
Full Job Description
đź“‹ Description
- • The Support Coordinator assists care/case managers with non-clinical activities such as creating cases and events, managing authorizations, providing telephonic outreach to members and providers, handling member mailings, and faxing clinical requests and Individual Health Care Plans.
- • Day-to-day responsibilities include providing excellent customer service to members and providers regarding authorization updates, coordinating care, DME outreach, scheduling appointments, and conducting screen assessments to identify risk factors; handling calls to and from providers about authorizations, referrals, visits, tests, and faxed care plans; managing requests from members, providers, call centers, and care management teams regarding initial authorizations, updates, and corrections; completing member and provider notification calls; escalating calls to appropriate departments; managing a large volume of tasks and caseloads from multiple queues; meeting or exceeding performance, quality, and productivity measures; building sustainable relationships through open communication; documenting accurate member information in compliance with internal procedures; following established policies to ensure timely and accurate issue resolution; communicating member issues or needs and monitoring member screening to improve quality and cost outcomes; and complying with HIPAA requirements to maintain PHI confidentiality.
- • The role is assigned to a specific clinical team (such as Care Management, Utilization Management, Behavioral Health, etc.) and may include additional departmental responsibilities. Healthfirst, Inc. is a healthcare organization committed to providing quality care and services to its members, with a strong emphasis on compliance, customer service, and operational excellence.
- • In this role, the individual can develop expertise in healthcare operations, care coordination, and authorization processes; enhance communication and problem-solving skills in a fast-paced environment; gain experience with healthcare technologies and CRM systems; build proficiency in medical terminology and HIPAA compliance; and grow professionally within a mission-driven organization that values employee development and equitable opportunities.
🎯 Requirements
- • High School diploma or GED from an accredited institution
- • Prior experience in a customer service environment
- • Proficient in Microsoft Office Suite applications including Excel, Word, and Outlook
- • Spanish fluency (required based on job title and location context)
- • Experience in a fast-paced environment
- • Knowledge of medical terminology (preferred)
🏖️ Benefits
- • Medical, dental, and vision coverage
- • Incentive and recognition programs
- • Life insurance
- • 401k contributions
- • Competitive compensation and benefits package
- • Equal opportunity employer with commitment to diversity and inclusion
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
About Healthfirst, Inc.
Healthfirst is a New York-based health insurance provider offering affordable, comprehensive plans to individuals, families, and seniors. For over 30 years, the company has delivered diverse options, including Essential Plans, Medicaid Managed Care, Child Health Plus, Marketplace plans, and specialized Medicare Advantage and Long-Term Care solutions. Healthfirst offers benefits like medical, prescription drug, dental, and vision coverage. Notably, Healthfirst maintains the only 5-star rated Essential Plan in New York for two consecutive years, solidifying its position as a trusted leader in accessible community healthcare.
Subscribe to the weekly newsletter for similar remote roles and curated hiring updates.
Newsletter
Weekly remote jobs and featured talent.
No spam. Only curated remote roles and product updates. You can unsubscribe anytime.
Similar Opportunities
Assurant, Inc.
2 months ago
Assurant, Inc.
2 months ago
Onhires Inc.
23 days ago
WeLoglobal Inc.
2 months ago