Contract-to-Permanent | 100% Remote | California Residents Only | Pacific Time Zone Hours
Pay: $22.00 per hour - benefit planned offered including medical dental vision and 401(k) - no match.
Schedule:
Monday to Friday, 8:30 AM – 5:30 PM PST or 9:00 AM – 6:00 PM PST
Must be available to work weekends as needed
We are seeking a highly organized and compassionate Call Center Care Coordinator to join our team in a remote, contract-to-permanent role. This individual will support members through outreach, appointment scheduling, and care coordination activities. The ideal candidate will have prior call center experience, preferably in a healthcare or health plan setting, and be bilingual in Spanish (preferred but not required).
Handle high-volume inbound and outbound calls from members and providers
Verify member eligibility and schedule medical appointments
Conduct appointment reminder and follow-up calls
Send appropriate letters (e.g., unable to contact, appointment reminders)
Communicate with provider offices for scheduling and member support
Track all interactions in Salesforce and maintain accurate documentation
Assist members with accessing benefits, including transportation and language assistance
Adhere to all departmental procedures, state and federal regulations, and accreditation standards
Provide general administrative support: scheduling meetings, file management, supply ordering, etc.
Collaborate across departments and with external partners to support projects and program implementation
Retrieve and compile data for reports and compliance purposes
Identify and communicate operational issues to management
Supporting care coordination and service authorization processes for members with medical, surgical, or long-term care needs
Coordinating with public agencies and internal medical directors or care teams
Reviewing health needs and individualized care plans
Maintaining communication with all professionals involved in a member’s care
Ensuring timely prior authorizations and review decisions are communicated
Responding to inquiries from members, providers, and state agencies
Must reside in California
Must have call center outreach experience
Bilingual in Spanish preferred
Experience in a health plan or medical office setting is a plus
Appointment scheduling experience is a plus
Strong organizational, communication, and interpersonal skills
Ability to multitask and work independently in a fast-paced environment
PC literate; comfortable using Microsoft Office and multiple databases
Knowledge of HIPAA and experience handling confidential health information
Bachelor's degree in healthcare or related field preferred (relevant experience will be considered in lieu of degree)
1–2 years clinical or related experience preferred