Remote job
Support Specialist Bilingual Spanish
Job details
About this role
Role overview Support care and case management teams by coordinating the administrative work that helps members understand and access approved services. The role combines member and provider outreach, onboarding, service authorization updates, and accurate case documentation, with clinical concerns escalated to the appropriate care team. Spanish and English proficiency is preferred for this position.
Responsibilities - Contact newly enrolled members to review approved services, equipment, and additional requests. - Review intake materials, complete onboarding and personal-assistant assessments, and refer discrepancies or potential risk factors to clinical staff. - Initiate, update, finalize, or discontinue authorizations for pre-approved services and equipment in the applicable system. - Respond to member questions about benefits, appointments, assessments, service issues, and grievances; document each interaction accurately. - Coordinate with providers about authorizations, referrals, visits, tests, and care-plan paperwork, and explain service approval requirements. - Manage a substantial caseload and work across departments to resolve onboarding issues and communicate member needs.
Requirements - High school diploma or equivalent. - Customer service experience, including work in a fast-paced setting with competing priorities. - Clear verbal and written communication, with strong grammar, spelling, and punctuation.
Nice to have - Associate degree or related certification; English proficiency plus Spanish fluency. - Familiarity with medical terminology, managed care, healthcare call centers, or care and case management. - Experience with authorization, customer relationship, document, or collaboration systems, and with Microsoft Office tools. - Confidence recording calls and case details in a computer system.
Benefits and work setup The source lists different hiring ranges by location, with compensation dependent on experience, education, credentials, and other role-related factors. It also describes medical, dental, and vision coverage, savings-plan contributions, insurance, and recognition programs, subject to eligibility.