Care Coordinator

Primecare Benefits Inc. • Enterprise, NV

6d • Remote

About The Position

PrimeCare Benefits Group is seeking a dependable, detail-oriented, and customer-focused Care Coordinator to serve as a primary point of contact for members and healthcare providers. The role assists with dental and vision benefit inquiries, eligibility verification, referrals, and authorization requests, and requires accurate, professional support in a fast-paced environment. The position is remote, with occasional required onsite attendance for meetings, training, and other business needs. It is full-time, hourly, non-exempt, and union-represented, subject to the applicable collective bargaining agreement.

Requirements

• High school diploma or equivalent.
• Strong verbal and written communication skills.
• Excellent customer service and problem-solving abilities.
• Strong organizational skills and attention to detail.
• Ability to multitask and navigate multiple computer systems simultaneously.
• Proficiency in Microsoft Office and general computer applications.
• Ability to work independently, manage time effectively, and meet performance expectations in a remote environment.
• Reliable internet connection and a quiet, professional workspace.
• Ability to remain seated and work at a computer for extended periods.
• Ability to maintain a professional, distraction-free workspace suitable for handling confidential information.

Nice To Haves

• 1–2 years of customer service or call center experience.
• Experience in dental, vision, health insurance, or managed care.
• Familiarity with insurance eligibility verification, referrals, and prior authorizations.
• Previous experience working in a high-volume call center.
• Bilingual communication skills.

Responsibilities

• Answer incoming calls from members, providers, and office staff about dental and vision benefit plans.
• Assist callers with eligibility verification, benefit coverage, referral status, authorization status, and general plan questions.
• Provide friendly, professional, and accurate customer service; research and resolve inquiries, escalating complex matters when necessary.
• Maintain thorough and accurate documentation of interactions.
• Review, enter, and process dental and vision referrals and authorization requests accurately and within 48 hours of receipt.
• Review submitted information for completeness and accuracy.
• Coordinate with internal departments to resolve eligibility, claims, and authorization concerns.
• Follow established procedures to ensure timely processing and compliance.
• Meet established productivity, accuracy, and customer service standards, including call-center performance goals for abandonment rate and speed to answer.
• Protect confidential member information and comply with HIPAA requirements.
• Participate in team meetings, training sessions, and ongoing professional development.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED