Pediatrics Coordinator

Regal Medical Group•Los Angeles, CA

5d•$23 - $25

About The Position

The CCS Coordinator supports the administrative functions of the Medi-Cal Team. This includes intake, logging, tracking and follow-up for CCS/WCM referrals, and other administrative duties as assigned. As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success. Full Time Position Benefits: The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life. Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options. Employer will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Requirements

High School Diploma; Associate Degree, Bachelor’s Degree or 5 years medical experience.
At least one year of experience in Medi-Cal managed care authorization processes.
Knowledge of Medi-Cal, CCS and WCM programs preferred but not required.
Knowledge and experience with medical terminology, CPT and ICD-10 coding.
Microsoft Word, Excel, and Outlook.
Strong verbal, written, and communication skills.
Detail oriented.

Nice To Haves

Knowledge of Medi-Cal, CCS and WCM programs preferred but not required.

Responsibilities

The CCS Coordinator identifies, refers and coordinates care for CCS- and WCM-eligible members and submits referrals to County CCS offices in a timely manner (within 24 hours); ensures referrals are to CCS paneled providers; tracks CCS referrals and their outcomes; assists in meeting regulatory time lines by maintaining an accurate database inventory of benefits, guidelines, programs and member needs; work closely with the Case Management team to coordinate patient care; requests medical records from physicians and hospitals; create job aids; other projects as assigned.
In addition, the position performs data entry, maintains confidentiality when communicating member information and assists with the communication and coordination between programs.