As a Remote Healthcare Administrative Specialist, you will serve as a trusted liaison between members, providers, and care management teams. Your daily focus involves conducting telephonic outreach to guide members through their care journeys, answering questions, assisting with scheduling, and connecting individuals to essential community programs. You will also partner directly with primary care provider (PCP) offices to facilitate and document vital medical necessity forms and physician authorizations. While this position is fully remote, you will be part of an active, engaged team culture connected daily through virtual meetings, messaging, and shared goals. Key Responsibilities: • Conduct outbound outreach to members and healthcare providers to coordinate care plans, address questions, and assist with service scheduling. • Serve as a resource advocate, connecting members with health plan benefits and local community programs to address Social Determinants of Health (SDOH). • Coordinate with PCP offices to obtain, track, and log Physician Signature of Need and Medical Necessity forms. • Accurately document member records and case notes in cloud-based care management systems, meeting daily quality metrics (25+ notes/day; 25–35 member caseload). • Support administrative onboarding, including sending educational materials and correspondence. Qualifications: • High School Diploma or GED equivalent. • 1–2+ years of medical experience (medical call center, primary care clinic, or managed care preferred). • computer proficiency: minimum typing speed of 50 WPM, proficiency in MS Office (Teams, Outlook, Excel, OneNote), and ability to navigate multi-window cloud databases. • self-starter with proven ability to troubleshoot technical issues and work independently. • Dedicated, private, and quiet home office environment adhering to strict HIPAA privacy standards. • Must possess a personal cell phone for secure VPN login authentication.
salary: $21.24 - $21.25 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
• Conduct outbound outreach to members and healthcare providers to coordinate care plans, address questions, and assist with service scheduling.
• Serve as a resource advocate, connecting members with health plan benefits and local community programs to address Social Determinants of Health (SDOH).
• Coordinate with PCP offices to obtain, track, and log Physician Signature of Need and Medical Necessity forms.
• Accurately document member records and case notes in cloud-based care management systems, meeting daily quality metrics (25+ notes/day; 25–35 member caseload).
• Support administrative onboarding, including sending educational materials and correspondence.
Skillstroubleshooting skillsType 50 words per minuteExcel, Outlook, Teams, OneNote
QualificationsYears of experience: 2 yearsExperience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
