Payment Integrity Coordinator

Public Partnerships | PPL•US AZ Remote, AZ

1d•$50,000 - $53,000

About The Position

Public Partnerships LLC supports individuals with disabilities or chronic illnesses and aging adults, to remain in their homes and communities and “self” direct their own long-term home care. Our role as the nation’s largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and services within their state-approved personalized budget. We are appointed by states and managed healthcare organizations to better serve more of their residents and members requiring long-term care and ensure the efficient use of taxpayer funded services. Our culture attracts and rewards people who are results-oriented and strive to exceed customer expectations. We desire motivated candidates who are excited to join our fast-paced, entrepreneurial environment, and who want to make a difference in helping transform the lives of the consumers we serve.

Requirements

Strong ability to analyze data, identify trends, and develop solutions to improve operations processes.
Exceptional attention to detail, ensuring all tasks and documentation are completed accurately.
Proven creative problem-solving ability and critical thinking to resolve issues efficiently.
Strong verbal and written communication skills, with the ability to communicate clearly and effectively at all levels within the company
Commitment to delivering exceptional customer service while resolving inquiries and providing support.
Ability to evaluate, follow, and improve upon current processes to enhance operational efficiency.
Ability to take initiative, make informed decisions, and seek guidance from leadership when needed.
Ability to manage time effectively and prioritize tasks in a fast-paced environment.
Advanced knowledge of CRM systems, Microsoft Windows, Excel, Word, and other software tools relevant to the role.
Ability to compose detailed reports, business correspondence, and procedure manuals.
Capable of presenting information clearly and responding to questions from managers, clients, customers, and the general public.
Relevant Bachelor’s degree or equivalent experience required. Substantial professional experience may be considered in lieu of a formal degree
Minimum of 2+ years of progressive experience in an operations center, customer service, enrollment, authorization, or consumer direction-oriented role

Responsibilities

Respond to pend inquiries via CRM, system of record, and email, ensuring accurate and timely resolution.
Respond to inquiries, providing thorough follow-up with previous contacts to resolve issues.
Respond to all inquiries in a professional, friendly, and timely manner with a strong public-service orientation, while working effectively with people with disabilities.
Communicate effectively, specifically with external parties (clients, referral sources, and vendors), to resolve issues and address inquiries.
Perform basic timesheet pend management resolution operations functions in a cross-functional manner.
Demonstrate a deep understanding of the full lifecycle of operations processes, working with all operations groups to provide effective resolutions.
Subject Matter Expert (SME) in program rules for assigned projects to effectively resolve pending timesheets for the PPL portfolio.
Create, analyze, and manage CRM cases for resolution tasks and administrative functions, ensuring thorough documentation.
Maintain excellent documentation of all calls, questions, complaints, and/or mailed inquiries for proper record-keeping.
Maintain adequate records for audit and internal control purposes, ensuring compliance with all operational policies.
Route mail, email, and other administrative tasks as assigned, contributing to efficient workflow.
Develop an excellent working knowledge of required operating platforms to perform job responsibilities effectively.