Remote job
Support Specialist Bilingual Mandarin Cantonese
Job details
About this role
Role overview Support care and case management teams with non-clinical coordination, member outreach, and accurate service documentation. You’ll handle calls and administrative workflows for a designated clinical team, communicating with members, providers, and community organizations in English and Mandarin or Cantonese.
Responsibilities - Contact newly enrolled members to review approved services, equipment, and other requests. - Check intake documents for pre-approved services, identify discrepancies, and route issues for follow-up. - Complete onboarding and consumer-directed assistance assessments, escalating potential risks to clinical staff. - Initiate, update, and close authorizations for approved services and equipment in the relevant system. - Document calls about benefits, appointments, assessments, service issues, grievances, referrals, and care plans. - Explain service approval requirements and coordinate onboarding issues with internal teams.
Requirements - High school diploma or GED. - Customer service experience, ideally in a fast-paced setting with competing priorities. - Strong verbal and written communication, including accurate grammar, spelling, and punctuation. - Ability to manage a large caseload, document interactions in computer systems, and raise member issues appropriately. - English proficiency and fluency in Mandarin or Cantonese.
Nice to have - An associate degree or relevant certification, medical terminology knowledge, or experience in managed care, healthcare, call centers, or care management. - Familiarity with care authorization or case management platforms and Microsoft Office tools, including Excel, Word, Outlook, and Teams.
Benefits and work setup Medical, dental, and vision coverage, life insurance, retirement contributions, and incentive or recognition programs are listed among the benefits; eligibility requirements apply.