Job Closed

This listing is no longer active.

Healthfirst logo
Healthfirst

We provide no-and low-cost health insurance in NYC, Long Island, Orange, Rockland, Sullivan, and Westchester counties.

Support Specialist

Customer SupportCustomer SupportFull TimeRemoteSeniorTeam 1,001-5,000Since 1993H1B SponsorCompany SiteLinkedIn

Location

New York

Posted

32 days ago

Salary

$40.2K - $54.6K / year

Seniority

Senior

High SchoolEnglish

Job Description

Support Specialist

Healthfirst

• Conduct outreaches for newly enrolled members to review current and approved services, durable medical equipment (DME) and additional requests • Review intake documents for pre-approved services and escalate discrepancies as needed • Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments and identify any issues or risk factors that require clinical escalations to a CM/PCM. • Initiate and finalize authorization in Trucare for preapproved services and DMEs and update and discontinue authorizations when applicable • Handle and accurately document calls to and from members to assist with benefit questions/issues, schedule appointments, assessment inquiries, service issues and grievances • Handle and accurately document calls to and from providers regarding authorizations initiation/updates, referrals, visits, tests, and faxed care plans • Provide education to members and providers regarding requirements for approval of service requests • Manage a large caseload while communicating member issues or needs and monitoring screening of members effectively to improve quality and cost outcomes • Communicate with Inter/Intra-departments regarding reconciling onboarding issues • Additional duties as assigned.

Job Requirements

  • High School diploma or GED equivalent
  • Experience in a customer service environment
  • Experience working in a fast-paced environment that requires handling multiple priorities simultaneously
  • Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
  • Associate Degree/Certification in a related field preferred
  • Knowledge of medical terminology
  • Knowledge of Trucare, Salesforce, HHAXchange, DocuSign Epaces, Sharepoint
  • Experience in managed care or other area of the healthcare industry working in a Call Center environment or Care/Case Management Department
  • Experience with Microsoft Office Suite applications including Excel, Word, Outlook, and MS Teams
  • English proficient bilingual who also speaks Spanish, Russian, Mandarin/Cantonese, French, Haitian Creole, Korean, Bengali, Punjabi, Hindi, or Urdu.

Benefits

  • medical, dental and vision coverage
  • incentive and recognition programs
  • life insurance
  • 401k contributions (all benefits are subject to eligibility requirements)

Related Job Pages

More Customer Support Jobs

Vena Solutions logo

Customer Experience Operations Specialist

Vena Solutions

Take your entire business from reactive to proactive with the leading AI-Powered Complete FP&A Platform.

Customer Support32 days ago
Full TimeRemoteTeam 501-1,000Since 2011H1B No Sponsor

• Support customer experience strategy & operations development by serving as a trusted advisor for the customer experience team. • Assist with the ongoing activities of administration, configuration, and support of our CX technology stack. • Generate, analyze and leverage data and insights to identify opportunities to improve speed, quality, efficiency, effectiveness, forecasting and customer experience. • Take active ownership in identifying the trends and opportunities via reporting and analysis, technology improvements, and lead initiatives to overcome gaps and challenges to its successful completion. • Research, design and collaborate with stakeholders to implement solutions for initiatives, inclusive of software implementations, custom workflows and processes, and reporting solutions • Collaborate with cross-functional partners such as Finance, Product and Technology, and Marketing to drive improvements to the customer experience team performance, cohesion and efficiency. • Respond to routine internal team requests and support the successful resolution of issues

Canada
$63.8K - $86.3K / year
Job Closed
Hopesglobalgetaways logo

Travel Care & Support Specialist

Hopesglobalgetaways

Hopes Global Getaways is a remote travel planning company powered by a full-service travel agency that specializes in destination weddings, honeymoons, cruises, family vacations, and luxury getaways. We partner with top global travel brands to design seamless, memorable travel experiences for clients worldwide. Our mission is to help travelers plan unforgettable vacations while offering flexible, remote opportunities for individuals who are passionate about travel and customer service.

Customer Support32 days ago

Role Description Our company is expanding its remote workforce and is currently seeking proactive, service-oriented individuals to join us as Travel Care & Support Specialists. In this position, you'll help clients stay organized and informed throughout the travel planning process by assisting with trip coordination, reservation tracking, and customer support needs. This opportunity is ideal for individuals who enjoy helping people, handling details efficiently, and working independently from home. Full training and continued guidance are available, making this a great opportunity for those looking to grow professionally in a flexible remote environment. - Support clients with planning requests, travel preferences, and scheduling details - Coordinate travel-related services such as accommodations, transportation, cruises, and activities - Review availability and booking selections through approved supplier systems - Keep travelers updated on reservation progress, confirmations, and itinerary information - Respond to questions and service requests through email, phone, and online messaging tools - Assist with changes, adjustments, and follow-up communication when needed - Maintain organized client files and accurate planning records within internal platforms - Participate in virtual onboarding sessions, team meetings, and continued learning programs Qualifications - Strong communication and client service skills - Excellent organization and attention to detail - Ability to multitask and work independently in a virtual setting - Comfortable using email, online systems, and basic computer applications - Reliable internet connection and professional work habits - Previous experience in hospitality, customer support, administration, retail, or scheduling is helpful but not required Requirements - Must be at least 18 years of age - Applicants must be authorized to work within the United States, United Kingdom, Mexico, Australia, Spain, or approved hiring regions Benefits - Remote work opportunity with flexible scheduling - Comprehensive onboarding and training resources - Ongoing mentorship and skill development support - Access to travel systems, supplier partnerships, and planning tools - Eligibility for travel-related rewards, incentives, and discount programs - Career growth opportunities within a supportive remote team

Northern America + 2 moreAll locations: Northern America | Australia and New Zealand | Western Europe
Hopesglobalgetaways logo

Travel Support & Client Services Specialist

Hopesglobalgetaways

Hopes Global Getaways is a remote travel planning company powered by a full-service travel agency that specializes in destination weddings, honeymoons, cruises, family vacations, and luxury getaways. We partner with top global travel brands to design seamless, memorable travel experiences for clients worldwide. Our mission is to help travelers plan unforgettable vacations while offering flexible, remote opportunities for individuals who are passionate about travel and customer service.

Customer Support32 days ago

Role Description Our remote team is continuing to grow, and we're currently looking for motivated individuals who enjoy helping others and keeping things organized to join us as Travel Support & Client Services Specialists. In this role, you'll assist clients with coordinating travel arrangements, managing important trip details, and providing helpful support throughout the planning process. This position is ideal for individuals who are customer-focused, detail-oriented, and comfortable working independently in a remote environment. Whether your background is in hospitality, customer support, administration, scheduling, or retail, this opportunity provides full training and ongoing guidance to help you succeed. - Assist clients with organizing travel plans based on preferences, schedules, and budgets - Coordinate reservations for hotels, cruises, transportation, tours, and activities - Research travel options and availability using approved supplier and booking platforms - Provide clients with updates regarding confirmations, itinerary progress, and travel details - Respond to client questions through email, phone, and online communication systems - Help manage itinerary adjustments, follow-up requests, and service-related updates - Maintain accurate records and organized documentation within internal systems - Attend virtual onboarding sessions, team trainings, and professional development meetings Qualifications - Strong communication and interpersonal skills - Organized with excellent attention to detail - Ability to multitask and stay self-motivated while working remotely - Comfortable using email, online platforms, and basic computer systems - Reliable internet connection and professional communication habits - Previous experience in customer service, hospitality, administration, scheduling, support services, or retail is helpful but not required Requirements - Must be at least 18 years of age - Must be authorized to work within the United States, United Kingdom, Mexico, Australia, Spain, or other qualified hiring regions Benefits - Fully remote work opportunity - Flexible scheduling options - Step-by-step onboarding and training support - Continued mentorship and development resources - Access to travel industry tools, supplier systems, and planning platforms - Eligibility for travel-related incentives and discount programs - Advancement opportunities within a growing remote team

Northern America + 2 moreAll locations: Northern America | Europe | Australia and New Zealand
Hopesglobalgetaways logo

Customer Experience Journey Advisor

Hopesglobalgetaways

Hopes Global Getaways is a remote travel planning company powered by a full-service travel agency that specializes in destination weddings, honeymoons, cruises, family vacations, and luxury getaways. We partner with top global travel brands to design seamless, memorable travel experiences for clients worldwide. Our mission is to help travelers plan unforgettable vacations while offering flexible, remote opportunities for individuals who are passionate about travel and customer service.

Customer Support32 days ago

Role Description We are currently expanding our virtual operations team and are looking for service-minded, detail-focused individuals to join us as Customer Experience Journey Advisors. In this remote role, you'll help clients throughout the travel planning experience by assisting with trip coordination, answering questions, and ensuring arrangements are handled efficiently and accurately. This opportunity is ideal for individuals who enjoy working with people, organizing information, and building strong customer relationships in a flexible work-from-home environment. Training and continued support are provided for all team members. Key Responsibilities - Work with clients to review travel preferences, schedules, and vacation goals - Assist with organizing travel arrangements including lodging, transportation, cruises, and activities - Research and compare available options through approved booking and supplier systems - Share updates related to reservations, confirmations, and itinerary progress - Provide professional support through phone, email, and online communication platforms - Handle service requests, booking updates, and itinerary modifications when needed - Maintain accurate records and organized documentation within internal systems - Participate in virtual onboarding sessions, training programs, and team meetings Qualifications - Strong communication and customer support skills - Organized with excellent attention to detail - Comfortable working independently in a virtual environment - Familiarity with email, online systems, and basic computer applications - Reliable internet connection and professional attitude - Previous experience in hospitality, retail, administration, scheduling, or customer-facing roles is helpful but not required Requirements - Must be at least 18 years of age - Applicants must be legally authorized to work within the US, UK, Mexico, Australia, Spain, or approved hiring regions Benefits - Fully remote work opportunity - Flexible scheduling options - Structured onboarding and ongoing training resources - Access to travel coordination tools and supplier partnerships - Eligibility for incentive programs, discounts, and travel-related perks - Supportive remote team environment with advancement opportunities

Northern America + 2 moreAll locations: Northern America | Australia and New Zealand | Western Europe