Medicare Support Coordinator (Bilingual in Spanish)

Montebello, CA

Position: Healthcare

Job Description

Medicare Support Coordinator (Bilingual in Spanish)

About the Role:

Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. Assists in ensuring members are effectively and efficiently managed through the medical/disease management process as needs require. Within extension of authority, assigns length of stay on acute inpatient admissions, as well as approves specific home health, DME. Process authorization requests and facilitates referrals. Assists with system letters, requests for information and data entry. Provides administrative/clerical support to medical and disease management.

Responsibilities:

  • care coordination needs, member engagement
  • Administrative support for case managers
  • Outreach to members to review their care plans and complete Health Risk Assessments
  • Properly Document calls and care plan reviews in Clinical Database (CCMS)/ Case Tracker (CTD)
  • Be able to quickly learn programs to identify member enrollment and profiles in database
  • Log into Phone Queue – Answering phone calls and making calls out to members and providers

Requirements:

  • Bilingual – Spanish
  • Understand Medical, Medicare, and CalMediConnect
  • Learns quickly and can adapt to new environments

What we like to see:

  • Good communication skills
  • Experience with managed health care
  • Good understanding of Medical terminology

Pay: $17.00/ hour

Schedule: Mon -Fri 9a, - 6pm (fulltime hours)

Meet Your Recruiter

Nora Kawaguchi
Program Manager

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