Care Coordination Representative

Advanced Medical Management

Posted 2 months ago

Full Time

Englewood Cliffs, New Jersey

Hybrid

Smart Summary

Responsibilities

The representative will manage inbound and outbound calls to coordinate care between patients, physicians, and hospitals. They are responsible for assisting with claims, prior authorizations, referrals, and maintaining accurate documentation of all interactions.

Qualifications

We are looking for a friendly and professional individual fluent in both Korean and English for a Care Coordination Representative role. Strong communication, problem-solving skills, and prior customer service experience are preferred, especially within a healthcare setting. Training will be provided for the role located in Englewood Cliffs, NJ, with potential for remote work in the future.

Job Description

Job Description

We are seeking a Bilingual Call Center Representative fluent in spoken Korean and English to join our team in Englewood Cliffs, NJ. This role includes handling both inbound and outbound calls and serving as a key point of contact between our organization, patients, physician offices, and hospitals.

The ideal candidate is friendly, professional, organized, and able to solve problems quickly and effectively. This position will support matters related to claims, prior authorizations, referrals, care coordination, and general patient support.

This role is currently on-site, with the possibility of transitioning to a remote or hybrid arrangement in the future based on business needs and performance. Training will be provided, though prior healthcare experience is strongly preferred and a major plus.

Responsibilities

  • Answer inbound calls from patients, physician offices, and hospitals
  • Make outbound calls to patients for follow-up, care coordination, and support
  • Communicate with patients, physician offices, and hospitals to help resolve issues
  • Assist with claims, prior authorizations, referrals, scheduling, and related matters
  • Document calls and follow-up actions accurately
  • Escalate more complex issues when needed
  • Provide friendly, professional customer service
  • Support other call center and administrative tasks as needed

Qualifications

  • Fluent in spoken Korean and English
  • Strong communication and customer service skills
  • Friendly, professional, and patient demeanor
  • Strong problem-solving and troubleshooting skills
  • Organized and able to manage multiple tasks
  • Comfortable speaking with patients and physician offices by phone
  • Training will be provided
  • Prior call center or customer service experience preferred
  • Prior healthcare experience is highly desired and a significant advantage
  • Experience with claims, referrals, prior authorizations, or care coordination is a plus

AMM BENEFITS

When you join AMM, you’re not just getting a job—you’re getting a benefits package that puts YOU first:

  • Health Coverage You Can Count On: Full employer-paid HMO and the option for a flexible PPO plan.
  • Wellness Made Affordable: Discounted vision and dental premiums to help keep you healthy from head to toe.
  • Smart Spending: FSAs to manage healthcare and dependent care costs, plus a 401(k) to secure your future.
  • Work-Life Balance: Generous PTO, 40 hours of sick pay, and 13 paid holidays to enjoy life outside of work.
  • Career Development: Tuition reimbursement to support your education and growth.

Advanced Medical Management

Advanced Medical Management, Inc. (“AMM”) is a full-service management services organization providing healthcare business management and consulting services since 1995. We are an IPA management company and fiscal intermediary administrating and servicing a variety of commercial and government agency clients with additional experience and success providing strategic planning, project development, and health system development services. We are focused on nurturing our physician client relationships with openness and trust providing answers to client needs that are customized yet consistent with industry standards. Visit our site to learn more about our experience successfully handling thousands of managed care lives for IPA clients throughout California.
Runway Icon
Boost Your Interview Chances

With Runway

See Your Fit for This Role

1-5 min

Your Score

?

Top Applicants

90%

Your Job Search Advantage

Key Gaps & Next Steps:

Address these in your resume & Interview

Top Strengths For This Role

Highlight these in your cover letter & interview

Your Interview Guide

A Personalized Interview Strategy

Freshest Opportunities

Never Miss a Good Fit

Get notified when jobs mach your criteria