Bilingual Case Management Associate - Maternity - Remote

Overview

The Case Management Associate will assist the Case Management department in the administration of CM functions to include telephonic outreach to members; monitoring of member eligibility; updating database information and research of support services for families. This is a full-time position.

In Short

• Supports Case Managers in communication with members.
• Directs callers to appropriate staff with good customer service.
• Verifies member eligibility according to policies.
• Conducts outreach and follow-up calls to members and providers.
• Documents member and provider information in the database.
• Performs data entry into client-based systems.
• Completes scripted introduction calls to Provider offices.
• Transfers clinical questions to Nurse Case Manager.
• Attends meetings for Quality Improvement updates.
• Maintains confidentiality and adheres to company policies.

Requirements

• Must reside in CST/MST or PST time zones.
• 1 – 3 years of customer service experience in healthcare.
• Bilingual (Spanish speaking) preferred.
• High school diploma required; college degree preferred.
• Call center experience strongly preferred.
• Professional communication skills required.
• Problem solving skills necessary.
• Proficient in Outlook, Excel, PowerPoint, & Word.
• Self-motivated and organized.
• Commitment to excellence in customer service.

Benefits

• 401K with company match.
• Medical and dental benefits.
• Long Term Disability.
• Paid Time Off.