Care Coordinator, Bilingual Spanish

This is a fully remote position, open to applicants in Texas.

📋 Description

• Report directly to the CM Operations Manager while collaborating closely with Case Managers.

• Deliver reporting, care coordination phone calls, general customer support, and administrative assistance.

• Ensure accurate information is provided to callers and triage telephone calls for clinical consultation and Case Managers.

• Input claims data and uphold data integrity within the claims management system.

• Confirm and update service-provider, adjuster, and attorney information in the Ahshay database.

• Triage new Case Management referrals based on established client criteria, without conducting medical assessments.

• Transition suitable referrals to comprehensive Telephonic Case Management and assign them to designated Case Managers.

• Create and disseminate letters and reports in Ahshay in accordance with client guidelines and workflow.

• Assist clinical staff with scheduling, medical record requests, faxing, mailing/emailing educational materials, DME delivery coordination, and claims adjudication.

• Offer translation assistance to Case Managers as required.

• Interact in a professional manner with Case Managers, Adjusters, Employers, Physicians, and other healthcare professionals.

• Perform additional duties as assigned.

⛳️ Requirements

• AS/AA degree or two (2) years of college education is preferred.

• Experience in a medical office setting is preferred.

• Strong knowledge of medical terminology is highly preferred.

• Previous customer service experience in a fast-paced environment is preferred.

• Maintain a professional demeanor with exceptional written and verbal communication skills.

• Strong organizational skills are essential.

• Ability to effectively communicate with customers across all levels.

• Proficient computer skills and comfortable with MS Word, MS Excel, email, and internet usage.

• Basic clerical and administrative skills are required.

• Demonstrate accuracy and efficiency in work tasks.

• Exhibit punctuality and reliability.

• Ability to sustain focus and a positive attitude in a dynamic environment.

• Capable of working independently with minimal supervision while being part of a team.

• Ability to meet deadlines in a high-pressure, time-sensitive atmosphere.

• Effective multitasking abilities.

• Capability to comprehend and execute written and oral instructions.

• Ability to sit and keyboard for the majority of an 8-hour workday.

• Manual dexterity is required.

• Ability to engage in telephone conversations intermittently throughout the day.

• Fluency in reading and writing in English is necessary.

• Ability to establish and confirm a secure, HIPAA-compliant home office.

• DSL, fiber, or cable home internet connection; a minimum of 100 Mbps is preferred.

🏝️ Benefits

• Medical, Dental, and Vision Insurance.

• 401K plan.

• Paid Time Off.

• Paid Holidays.

• Monthly Internet Stipend.