Care Specialist-Clinical Operations

Location: Work@Home, United States of America

Company

hirify.global provides technology-enabled business process management services for healthcare organizations, covering clinical operations, case management, member engagement, provider solutions, claims, payment integrity, and analytics.

What you will do

• Handle inbound calls from members, physicians, clients, and other healthcare stakeholders across multiple products.
• Conduct outbound calls for enrollment, customer satisfaction surveys, and other member programs.
• Navigate members through the healthcare system and community-based resources.
• Route messages to nurses and record clear, timely notes in patient charts.
• Collect and validate patient demographics, insurance details, and contact information.
• Obtain referral pre-certification or authorization numbers and escalate issues when appropriate.

Requirements

• High school diploma or equivalent.
• At least one year of experience in an office setting, telephone customer service, reception, or telemarketing.
• Strong telephone communication, interpersonal, organizational, typing, computer, and problem-solving skills.
• Ability to interpret policy provisions, demonstrate empathy, multitask, and maintain cultural sensitivity.
• Ability to work remotely with regular, reliable attendance and punctuality.
• Ability to maintain patient confidentiality in accordance with HIPAA standards.

Nice to have

• Direct experience in a telehealth support function.

Culture & Benefits

• Remote work arrangement for the United States.
• Collaboration with members, physician offices, clients, supervisors, and internal teams.
• Work across multiple healthcare products and service programs.
• Service delivery follows hirify.global policies, guidelines, and quality standards.