Description and Requirements
Duties and Responsibilities:
- Handles calls to and from members to assist with benefit questions/issues, schedule appointments, and screen assessments to identify risk factors which need closer intervention.
- Handles calls to and from providers regarding authorizations, referrals, visits, tests, and faxed care plans.
- Documents accurate member information in compliance with our internal procedures.
- Manages a large member caseload.
- Timely communicates member issues or needs and monitors screening of members effectively to improve quality and cost outcomes.
- Escalates calls as necessary
- Additional duties as assigned.
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $39,208 - $52,000
All Other Locations (within approved locations): $34,091 - $49,920
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.