Provider Coordinator Employer Solutions Ambulatory

Franciscan Alliance, Inc. • Greenwood, IN

5d • Onsite

About The Position

The Ambulatory Provider Coordinator of Employer Solutions collaborates with Franciscan Health Employer Solutions, Operations, and Medical Directors. This position directly supports the Director Employer Solutions and the respective areas of responsibility. The coordinator role is responsible for monitoring employer phones calls, and ensures regulatory requirements are met and compliant. This position, also, maintains and completes multiple budgets and statements for distribution. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Manage and track collaborative logs monthly for providers and medical directors. Review collaborative agreements with legal, provider recruitment, and medical directors before submitting to respective organizations. Ensure completion of timekeeping for providers and extra shift forms submission. Compile monthly reports for Director; send out HEA welcome letters, and ensure Employer is prepared for the dissemination of information. Monitor appointment availability, quality logs, and other applicable metrics. Monitor adherence to budget; completes billing adjustments for Working Well and FEC; completes tiered access monthly statements for client distribution. Remain current on updates from payers to ensure appropriate reimbursement from payers; enter standardized documentation within electronic medical record to identify prior authorization and the criteria surrounding each authorization.

Nice To Haves

• Bachelor's Degree Nursing or Healthcare Administration (Business)
• 5 years In lieu of bachelor's degree; 5 years supporting professional employees or in a healthcare setting

Responsibilities

• Manage and track collaborative logs monthly for providers and medical directors.
• Review collaborative agreements with legal, provider recruitment, and medical directors before submitting to respective organizations.
• Ensure completion of timekeeping for providers and extra shift forms submission.
• Compile monthly reports for Director; send out HEA welcome letters, and ensure Employer is prepared for the dissemination of information.
• Monitor appointment availability, quality logs, and other applicable metrics.
• Monitor adherence to budget; completes billing adjustments for Working Well and FEC; completes tiered access monthly statements for client distribution.
• Remain current on updates from payers to ensure appropriate reimbursement from payers; enter standardized documentation within electronic medical record to identify prior authorization and the criteria surrounding each authorization.

What This Job Offers

• Job Type: Full-time
• Number of Employees: 5,001-10,000 employees