Provider Operations Coordinator

Circadia HealthEl Segundo, CA
$50,000 - $70,000Onsite

About The Position

As Circadia's Provider Ops Coordinator, you'll work directly with our Provider Operations team to manage the full lifecycle of incoming medical records requests, coordinating closely with the RCM team as needed. You'll be the person who logs, tracks, prepares, and reviews these requests to make sure the right documentation goes out accurately and on time. This role is based out of our headquarters in El Segundo, CA.

Requirements

  • Minimum 2 years of experience in a high-paced medical office setting, managing incoming medical records requests and compiling clinical documentation.
  • Working knowledge of medical records workflows, HIPAA requirements, and release-of-information processes.
  • Experience working with EHR systems.
  • High attention to detail, with the ability to accurately cross-reference dates, patient identifiers, and documentation across multiple sources.
  • Strong organizational skills, with the ability to coordinate multiple requests and deadlines simultaneously without losing track of status or priority.
  • Comfortable learning and adapting to new software tools and digital filing systems.
  • Strong written and verbal communication skills.
  • Ability to thrive in a dynamic, evolving startup environment.

Nice To Haves

  • Experience with payer audits, ADRs, SIU requests, or Medicare Risk Adjustment/HCC documentation.
  • Familiarity with remote patient monitoring (RPM/RTM) billing and CPT coding basics.
  • Experience working in or with skilled nursing facilities (SNFs).
  • Experience with esMD, Kiteworks, or other secure health information exchange portals.
  • Proficient with PDF tools, spreadsheets, and document assembly software.

Responsibilities

  • Log and track all incoming medical records requests across payer portals, fax, mail, and email, maintaining accurate records of deadlines, reference numbers, and status.
  • Prepare and consolidate required documentation into complete, organized packets for each request.
  • Review packets for accuracy, including patient identity, dates, and completeness, prior to submission.
  • Submit completed packets to the requesting payer or entity through the appropriate channel and confirm receipt when required.
  • Identify and escalate missing, inconsistent, or questionable documentation before it impacts a submission.
  • Collaborate with the Revenue Cycle Management (RCM) team and Physician Operations to source claims, billing, and provider documentation needed for audit responses.
  • Maintain and update the request tracking log, escalating at-risk deadlines proactively.
  • Maintain organized digital recordkeeping to support compliance and audit readiness.

Benefits

  • 100% company-paid medical, dental, and vision coverage
  • 401(k)
  • Competitive time off with pay policies including vacation, sick days, and company holidays
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