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Job Requirements of Care Management Support Coordinator II:
-
Employment Type:
Contractor
-
Location:
Boynton, GA (Onsite)
Do you meet the requirements for this job?
Care Management Support Coordinator II
BCforward
Boynton, GA (Onsite)
Contractor
Care Management Support Coordinator IIBC Forward is looking for Care Management Support Coordinator II (Remote
Position Title: Care Management Support Coordinator II (Remote)Locations: Remote -
Anticipated Start Date: 04/28
Expected Duration: 6 Months
Job Type: Contract with possible extension
Shift: M-F 40hrs/week
Pay Rate $22.00/hr. on W2
Need: Need Peer-Peer experience , High Volume Calling and TRUCare exp.
Interview Process : 1-Phone Screening, 2- Virtual Interview.
Position Purpose:
The Administrative Care Coordinator supports care management activities by conducting outreach, handling inbound calls, and scheduling services. This role serves as a primary point of contact for members, providers, and staff, ensuring timely issue resolution and accurate documentation of member records in compliance with state and regulatory guidelines.
This position is critical in managing high call volumes and maintaining service level standards. Additionally, it plays a key role in collaborating with the internal medical director and clinical nursing team to facilitate peer-to-peer scheduling, ensuring authorization approvals for requested member services. The role also involves assisting providers and members in overturning authorization denials.
In comparison to other teams, this role is highly competitive, offering valuable experience in system navigation, process adaptation, and enhanced communication skills with internal teams and members.
Schedule & Overtime Requirements:
Must-Have Qualifications:
Performance Indicators:
Customer Service
Medical Insurance Knowledge
Strong Communication Skills
Additional Qualifications:
Education & Experience:
Key Responsibilities:
Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
Position Title: Care Management Support Coordinator II (Remote)Locations: Remote -
Anticipated Start Date: 04/28
Expected Duration: 6 Months
Job Type: Contract with possible extension
Shift: M-F 40hrs/week
Pay Rate $22.00/hr. on W2
Need: Need Peer-Peer experience , High Volume Calling and TRUCare exp.
Interview Process : 1-Phone Screening, 2- Virtual Interview.
Position Purpose:
The Administrative Care Coordinator supports care management activities by conducting outreach, handling inbound calls, and scheduling services. This role serves as a primary point of contact for members, providers, and staff, ensuring timely issue resolution and accurate documentation of member records in compliance with state and regulatory guidelines.
This position is critical in managing high call volumes and maintaining service level standards. Additionally, it plays a key role in collaborating with the internal medical director and clinical nursing team to facilitate peer-to-peer scheduling, ensuring authorization approvals for requested member services. The role also involves assisting providers and members in overturning authorization denials.
In comparison to other teams, this role is highly competitive, offering valuable experience in system navigation, process adaptation, and enhanced communication skills with internal teams and members.
Schedule & Overtime Requirements:
- Opener: 8:00 AM - 5:00 PM (EST)
- Mid-Shift: 10:00 AM - 7:00 PM (EST)
- Closer: 11:00 AM - 8:00 PM (EST)
Must-Have Qualifications:
- Call center experience
- Medical insurance experience
- Customer service skills
- Strong problem-solving abilities
- Trucare experience
- Experience with phone systems
- Lack of a quiet workspace for live calls
- Poor internet quality or speed
Performance Indicators:
- Average Handle Time (AHT): Best - 7 minutes | Average - 7.5 minutes
- Average Hold Time (AHT): Best - 1 minute | Average - 1.5 minutes
Additional Qualifications:
- Excellent organizational skills
- Ability to adapt quickly to process changes
- Highly coachable and eager to learn
Education & Experience:
- High school diploma or GED required
- 1-2 years of related experience preferred
Key Responsibilities:
- Conduct outreach calls to members, providing guidance on care plans, community resources, and scheduling needs.
- Address member inquiries and concerns, offering continuous education and support to both members and providers.
- Assist members in connecting with health plan and community resources to ensure quality care.
- Leverage health plan knowledge to provide accurate and up-to-date information.
- Serve as the first point of contact for member and provider inquiries, explaining care plan procedures and policies.
- Support member onboarding by sending welcome letters, correspondence, and educational materials to strengthen member-provider relationships.
- Maintain and document non-clinical member records in compliance with state and regulatory requirements, ensuring accessibility for providers.
- Identify and refer members to local benefits and resources to address Social Determinants of Health (SDOH) needs.
- Perform additional administrative tasks as assigned.
- Adhere to company policies and regulatory standards.
Benefits
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
Interested candidates please send resume in Word format Please reference job code 237116 when responding to this ad.
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