Coordinator II

Partnership HealthPlan of California•Redding, CA

2d•$29 - $34•Onsite

About The Position

The Coordinator II will coordinate assigned departmental projects and provide complex administrative support to department leaders. This role develops, implements, and monitors processes, tools, and systems for collecting, tracking, and managing information required for monitoring performance and deadlines. The Coordinator II also develops and produces reports. In addition to the Coordinator I duties, the Coordinator II may handle escalated calls, escalated Helpdesk inquiries, and may follow up with providers regarding missing documentation.

Requirements

High School Diploma or equivalent.
At least two (2) to four (4) years of related experience required in the medical/clerical field; or equivalent combination of education and experience.
Experience in phone-based customer service
Excellent oral communication with problem solving skills.
General knowledge of managed care.
Ability to work within an interdisciplinary team structure and function in a fast-paced environment while managing multiple priorities and meeting deadlines.
Strong organizational skills required.
Effective telephone and computer data entry skills required.
Knowledge of computers and related applications and familiarity with spreadsheet applications.
Minimum typing speed of 40 wpm.
Knowledge of alpha-numeric filing systems.
Proficient in use of Microsoft Suite.
Excellent oral and written communication skills and customer service orientation.
Must be able to work in a fast-paced environment and maintain courtesy and composure.
Ability to follow established procedures and protocol.
Ability to communicate effectively with coworkers, physicians and health care providers.
Ability to function effectively with frequent interruptions.
Ability to use a computer keyboard.
Must be able to lift, move or carry objects of varying size, weighing up to 10 lbs.
Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

Nice To Haves

Bilingual skills in Spanish, Tagalog, or Russian may be preferred.

Responsibilities

Provides administrative support to management and general office and clerical duties as needed to support the department.
Documents desktop procedures and updates annually to ensure content is current.
Enters data into various software systems. Maintains and updates all databases in use accurately. Uploads department documents and files to SharePoint ensuring content is organized and up to date.
Processes inventory by receiving and scanning documents, assigning numbers and tracking completion dates using Excel and other tools.
Produces and maintains correspondence, forms, reports, and other needed documentation.
Verifies member eligibility both electronically and using online systems.
Intakes information over telephone from providers for referrals and authorizations.
Performs general office and clerical duties as needed to support the department; opens, sorts, date stamps, and distributes mail; answers telephones and determines urgency and priority of requests, questions, and issues; routes calls to appropriate staff in a courteous and professional manner; copies, faxes, files, and generates routine letters to providers and members.
May process documents within scope of authority but require additional knowledge and skillset than that of a Coordinator I.
May handle escalated calls and emails from providers and or internal partners.
Assists with creating training plans and onboarding of new staff to include chair-side training.
May provide new hire orientation and training.
If applicable, reconciles capped provider discharges within our platform.
If applicable, contacts providers directly to reconcile records to manage volume for nurse coordinator work assignment accuracy and monitoring.
Coordinates meetings, including but not limited to, creating agendas, taking minutes, and setting up conference rooms.
Makes presentations to internal Partnership audiences of all levels.
Provides guidance and education on departmental contacts, resources and information.
Provides training and support to staff in the use of software, department programs, policies, and procedures.
Assists with requests from other departments by investigating facts, providing information, and/or escalating the issue to the appropriate person as needed.
Participates in the design of process improvements and supports the department with development of procedures, tracking and reporting tools.
Participates in special projects, assignments and/or other tasks as needed.
Coordinates and monitors inventory control processes to ensure production standards are met.
Monitors reporting schedules and regulatory deadlines to ensure deadlines are met.
May support and cross trains to fill in for Authorization Specialist assignment.
Other duties as assigned.