Member Care Coordinator

Immediate need for a talented Member Care Coordinator. This is a 06+months contract to hire opportunity with long-term potential and is located in US(Remote {PST}). Please review the job description below and contact me ASAP if you are interested.

Job ID:  25-69797

Pay Range: $22 - $23/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Shift timing - M-F 8am – 5 pm PST No OT
• Medicare
• Collaborative and great team support
• Position Purpose: Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services.
• Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.
• Verify member eligibility and research member contact information
• Place outbound calls to engage members high and moderate acuity members in free Case Management program
• Submit referrals and digitally prepare letters to be sent to members as needed
• This is a repetitive, fast-paced position that requires attention to detail
• Client's culture offers a flexible environment with lots of opportunities for knowledge and growth
• Working closely with supervisors and possibility to convert

Key Requirements and Technology Experience: 

• Key Skills; Medicare, bilingual , Member outreach., outbound calls
• High School diploma, GED. 
• Preferred: AA/AS – Associate’s Degree
• 1 – 2 years of related experience, Skilled in communication with all levels of management, internal and external customers; Ability to work well as a member of a team or alone; Ability to work in a fast-paced environment
• Proficiency in one or more languages other than English; 2-5 years of Customer Service in Healthcare experience preferred
• Difficulty mastering basic computer systems (Microsoft suite); Previous experience with Client and is marked non-rehirable
• 90% Quality Audit
• 50% Engagement
• Completing all cases within defined Turn Around Time
• Best – 50 new assignments per day
• Average 20-30 new assignments per day
• Customer Service skills
• Proficiency in Microsoft Office suite
• Healthcare / Care Management knowledge

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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