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HealthfirstHE

Performance Support Specialist - Bilingual Vietnamese

Healthfirst is a not-for-profit health insurer based in New York, providing a range of affordable health plans and emphasizing community health.

Healthfirst

Employee count: 1001-5000

Salary: 41k-62k USD

Vietnam only

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The Performance Support Specialist will be responsible for providing assistance in resolving complaint issues escalated by the representatives. This role is required to pull non-urgent complaint reporting through various systems on a daily basis, review each matter and reach out to the member in order to provide determinations while maintain a tracking system for any and all incoming complaint issues.

Duties & Responsibilities:

  • Assist in resolving customer complaints escalated by internal and external business partners as needed.
  • Assist in reviewing and modifying Physician capitation reports.
  • Assist in resolving member issues who called in multiple times with the same issues.
  • Assist in responding and resolving escalated inquiries from other departments and external contacts.
  • Make recommendations on process improvements.
  • Build sustainable relationships of trust through open and interactive communication with internal and external customers.
  • Able to properly follow procedures based on issues and documents received
  • Make recommendations to management concerning staff performance.
  • Make recommendations on process improvement.
  • Maintain open exchange of information with external and internal customers.
  • Required to multi-task, prioritize and manage time effectively.
  • Timely filing of complaints.
  • Conduct outreaches as required.
  • Attend meetings as business requires.
  • Additional duties as assigned.

Minimum Qualifications:

  • High School Diploma or GED from an accredited institution
  • Healthcare industry experience
  • Experience working in customer service
  • Excellent telephone & customer service skills
  • Experience working in clerical or administrative capacity
  • Experience meeting strict deadlines
  • Proficient in Microsoft suite of applications including Word, Power point, Outlook and Excel.

Preferred Qualifications:

  • Associate degree from an accredited school
  • Conflict Resolution Experience
  • Experience handling complex situations and/or projects
  • Experience in developing and coaching of staff

Compliance & Regulatory Responsibilities: NA

License/Certification: NA

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Hiring Range*:

  • Greater New York City Area (NY, NJ, CT residents): $47,403 - $62,400

  • All Other Locations (within approved locations): $41,101 - $60,320

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

About the job

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Posted on

Job type

Full Time

Experience level

Salary

Salary: 41k-62k USD

Education

High school
Associate degree

Location requirements

Hiring timezones

Vietnam +/- 0 hours

About Healthfirst

Learn more about Healthfirst and their company culture.

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Healthfirst has been a dedicated partner in providing affordable healthcare solutions to New Yorkers for over 30 years. Founded by a coalition of leading hospitals, we have created a model that focuses on transitioning the healthcare system towards value-based care—where the quality of care is prioritized over volume. Our extensive network includes nearly 2 million members across New York City and beyond, encompassing a variety of products such as Medicaid, Medicare Advantage, Child Health Plus, and Essential Plans. With a commitment to enhancing healthcare access and outcomes, we offer comprehensive services that include individualized care coordination, tailored health plans for all ages, and many community health initiatives.

At Healthfirst, we place significant emphasis on community engagement, driving efforts to partner with local organizations to ensure that healthcare reaches those who need it most. Our dedicated workforce is more than just an insurance provider; we serve as proactive allies in the health journey of our members. This includes providing essential resources for managing long-term health conditions, access to necessary screenings, and supportive services that encourage healthy lifestyles. As part of our mission, we actively seek to eliminate barriers to healthcare, ensuring every member can access the benefits and services they deserve, thereby promoting overall wellness and longevity in the communities we serve.

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Healthfirst

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