Service Coordinator- NYC Fidelis Care 233 reviews - New York, NY Position: Service Coordinator- NYC Description: As a mission-driven health plan serving all 62 counties of New York State, Fidelis Care provides quality, affordable health insurance coverage for children and adults of all ages and at all stages of life. Central to our mission is our commitment to be a health care partner, working closely with our members and providers to ensure that everyone receives the care they need, when they need it. From the beginning, Fidelis Care has worked to be part of the social fabric of local communities, impacting peoples lives with one of the most basic human rights access to quality health care and services, close to home. Position Summary The Service Coordinator provides administrative and non-clinical member service support related to the personal care benefit and Managed Long Term Care product-lines and departments. This position is also responsible for the completion of all necessary paperwork and documentation, authorizations, processing MD orders, and securing provider assignments; coordinate documentation retrieval and exchange between departments to ensure smooth workflow. Essential Functions and Responsibilities Responsibilities * Transcribe, format, input, and edit data to create letters, documents, spreadsheets, authorizations and graphic presentations. * Clarify the member's complaint; determine the cause of the problem; select and explain the best solution to solve the problem and expedite correction or adjustment; follow up to ensure resolution. * Create spreadsheets with appropriate data, as requested and assigned; provide others with organized statistical reports or graphs. * Problem-solve nonclinical issues; order and maintain such services as meals on wheels, DVRs, purchasing of medical supplies and non medical essentials. * Maintain monthly contact with members to assure proper care; carry out close tracking of personal care at home; complete care management documentation and perspective Utilization Management to ensure all necessary information and updates are recorded. * Provide triage clinical services and take action to resolve triage emergencies on a case-by-case basis; assist nurses doing high touch clinical cases; assist with reports and requirements. * Alert MLTC of fraudulent activity; assist with KPI policies; perform all steps necessary to complete authorizations and close cases. Occasional home visits required, requires driver's license and reliable vehicle. Educational and Experience Requirements Work Related Experience: * Minimum of 1-2 years Personal Care coordination and Home Care experience. * Experience with member service preferred. * Minimum of 1-2 years related experience required. * Proficiency in Microsoft Office: Excel, Word, Access; Internet. * Bilingual in Spanish, Russian, Mandarin or Cantonese is a plus. * Knowledge of DME, Oxygen and HOYA lifts preferred. * Must have strong analytical and problem solving skills. * Skilled to communicate with all levels of management, internal and external customers. Good communicator and listener. Ability to deal with customers with disabilities. * Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements. Education, License, and Certification Requirements * High School Diploma required. Legal Requirements EEO Statement Fidelis is an equal opportunity employer and employs individuals regardless of race, sex, color, religion, creed, ancestry, national origin, physical handicap, age, marital status or other protected class status pursuant to applicable law. Fidelis does not reject employees, or otherwise deem employees unacceptable, or take any other action for any reason prohibited by federal, state or local laws including, but not limited to, laws pertaining to employment discrimination or employee safety. In addition, Fidelis does not tolerate unlawful harassment or retaliation, and abides by all applicable laws related to sexual or other forms of harassment and all laws regarding retaliation. Disclaimer The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job. May be required to perform other related duties as assigned. Physical Requirements: Ability to continuously stand or walk. Frequent and repetitive hand movements, including grasping, squeezing, and pulling. Ability to bend, squat, climb stairs and lift frequently. Ability to lift up to 10 pounds occasionally. Time Type: Full time Location: New York City Regional Office 12 hours ago - save job - original job Apply On Company Site Other jobs you may like MSC - Medicaid Service Coordinator Program Development Services Inc. - Brooklyn, NY 3 days ago Easily apply Service Coordinator - Manhattan Community Access, Inc. - New York, NY 3 days ago Service Coordinator, Mobile Team Services for the UnderServed - New York, NY 5 days ago Service Coordinator PumpMan Intermediate Holdings LLC - Brooklyn, NY 5 days ago Easily apply LTSS Service Coordinator (Field RN)- New York... Anthem, Inc. - New York, NY 4 days ago * Service Coordinator jobs in New York, NY * Jobs at Fidelis Care in New York, NY