Prospect Medical Holdings-posted about 1 year ago
Full-time • Entry Level
Orange, CA
5,001-10,000 employees
Hospitals

The Operations Coordinator I position at Prospect Medical Holdings is responsible for performing contracting and operations activities in accordance with various healthcare policies and accreditation guidelines. This role involves reviewing health plan attestations, managing provider intake forms, and ensuring proper documentation and communication within the organization. The coordinator will also handle alerts related to provider additions and changes, draft necessary correspondence, and maintain accurate records to support the operational efficiency of the medical system.

  • Review health plan attestations for completeness.
  • Save documents in correct locations with correct naming conventions.
  • Assess completeness of information on eApply Provider Intake Forms, CPPA and CAQH credentialing applications.
  • Route initial recruit and new eApply log in alerts to credentialing for Specialist Providers.
  • Route alerts for Practice Address, Mailing Address and Payment Address changes for various providers.
  • Ensure correct documentation has been provided by the requesting party.
  • Upload and save documentation in the correct locations with the correct naming convention.
  • Route Provider Add alerts for various types of providers.
  • Draft welcome letters for all new Provider Adds.
  • Update Exhibits for all provider adds and ensure documentation is uploaded correctly.
  • Work on assigned alerts in a timely manner and escalate if necessary.
  • Create shell records for contracts and groups for Letters of Interest.
  • Assign tracking alerts to Regional Managers and draft LOI denial letters.
  • Archive records and save needed documentation accurately.
  • Monitor and maintain CONFAX inbox and ProCon Support alert queue.
  • High school diploma or equivalent required.
  • Two to five years of experience preferred.
  • Previous coordinator experience with IPA / Medical Group / Hospital experience required.
  • Proficient in Microsoft Excel and Word.
  • Health insurance
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