Member services coordinator job description

Duration: 6 month(s)

Requirements:

· Education/Experience: High school diploma or equivalent. 0-2+ years of customer service or medical office experience.

· Experience with preserved medical record retrieval systems preferred.

· Billing or coding experience preferred.

· EMR Experience required

· Basic Microsoft Excel and Basic Microsoft Word

· Flexible with workload and can adapt to daily changes

Responsibilities

· Assist members with scheduling office visits with primary care provider.

· Retrieves charts from electronic medical record systems and compile medical records to send to other parties for coding.

· Requests medical records by making outbound phone calls to provider groups.

· Completes supplemental medical records requests using Excel files.

· Assist with providing updated member and provider information to vendors.

· Directs medical record requests to the responsible party.

· Resolves outstanding vendor pends within a timely manner by updating member and provider demographics and working with chart load issues.

· Ensure follow up on member appointments or other tasks designated.

· Assist with ad hoc requests.

Things to look for:

· Looking for basic excel skills (open it, read it, scroll up and down, etc)

· Experience working with VMR

· Good communication and customer service skills

· Possible roles that would fit well:

· Medical Assistant

· Physician Office

· Patient Care

· Medical Records

Other info:

· The positions are remote, laptop will be provided

· Candidates do not get paid for time off or holidays

Company DescriptionBC Forward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers’ needs into a full-service personnel solutions organization. Headquartered in Indianapolis, Indiana, BCforward also operates numerous delivery centers across North America and India. We are currently the largest consulting firm and largest MBE certified firm in Indiana. Our uninterrupted growth has allowed BCforward to deliver uniquely configured IT staffing and project solutions for over years of catering to our customers’ specific needs. BCforward currently maintains a team of over 5000 global resources. With our additional brand, Stafforward, together we have the capabilities to deliver services for a variety of industries in both public and private sectors which allows us to address your most challenging needs.
www.BCforward.com

*** $750.00 Sign-On Bonus ***

When you think about important qualities for your next employer to have, do growth, originality, enthusiasm, and investment in people and infrastructure come to mind? If so, then Health Plans, Inc. (HPI) is the place for you. If you want to join a team that values integrity, flexibility, loyalty, compassion and dedication, we want to meet you.

What you’ll do

We’re looking for a thorough and attentive coordinator to document and research appeals submitted on behalf of members. In this role, you’ll put your keen eye to work tracking the details of appeals and corresponding with impacted customers. You’ll follow federal and certain state regulation timelines that guide the appeal acknowledgement, review, documentation and response process and work with internal staff, medical reviewers and legal consultants to prepare and present the best possible case for review.

In this role, you’ll also:

• Gather all pertinent information for the decision-making process (i.e., research provider network issues, review phone call history, etc.)
• Prepare and present cases to internal committees
• Provide assistance settling claim processing errors and omissions using research and problem-solving skills
• Be an active participant in team meetings

The ideal candidate has:

• A High School Diploma or equivalent; and 2 or more years’ of experience in the healthcare industry
• Knowledge of federal, state and NCQA appeals standards
• Proficiency with HIPAA Data file layouts (ECI/Mphasis computing systems preferred)

What we do

Delivering the best possible service to our clients and their employees is a top priority and we work together at all levels to accomplish it.

HPI is unique. It’s a 38-year-old company that maintains a forward-thinking, entrepreneurial spirit in an industry not known for changing with the times. By joining HPI, you’ll be part of a team of professionals that strive to make a difference by offering better health insurance and outside-the-box solutions to companies and their employees nationwide. This drives HPI to be an industry leader in innovation, modernization and organizational growth year over year. There isn’t a challenge we won’t accept and we’re looking for people who have a passion to take it on.

What we have to offer

Our employees work in a newly renovated, open, and collaborative environment. At HPI you can brainstorm in one of our team break-out rooms, stretch out at your ergonomic desk, take a break to chat in the onsite café, or get in a quick workout at one of the campus gyms. We offer competitive pay and several great locations, including our headquarters in Westborough right off of Route 9, Route 495 and the Mass Pike, with shuttle service available from the Westborough Commuter Rail Station to our office park via the Worcester Regional Transit Authority (WRTA). Our benefits package includes incredible health plan options, opportunities to volunteer and support community projects, a quarterly bonus program, and so much more.

So, think you want to join the HPI team? We hope to hear from you!

You can read more about us at healthplansinc.com/our-story/careers/

EEO/AA/M/F/Vet/Disability Employer

AmeriCorps Member Job Description

Healthcare Staffing Professionals, Inc. is assisting The LA County Department of Public Health (LACDPH) in recruiting part-time (three fourths time) and half-time AmeriCorps members. Part-Time Members will complete a total of 1200 hours during their 12-month service period and receive a living allowance of $20,000 for their service. Half-Time Members will complete a total of 900 hours during their 12-month service period and receive a living allowance of $14,400 for their service
AmeriCorps members will engage in community outreach, health education, and resource sharing in the most highly impacted communities located within Los Angeles County. Members will be assigned to one of the eight Service Planning Areas (SPAs) and work to meet the unique health needs of communities within their assigned region. The primary role of members will be to conduct community outreach. Outreach efforts will comprise of 80% of the member’s time and the remaining 20% of time will be spent supporting LACDPH Community Field Office activities. Field office activities will focus on topics such as substance abuse disorders, HIV/STDs, nutrition, physical activity, violence prevention, environmental health and more.
Members will join an AmeriCorps cohort and will receive individual and group training to further support development as an emerging public health leader. This experience will provide members the opportunity to gain experience in the field while directly interfacing with community members, business owners, stakeholders, and public health experts.
Given the fluidity of COVID-19 information and mandates, candidates must be able to work well in a fast paced and changing environment. Candidates must be flexible team players and must be willing to respond to changing directives given the needs of the community. Members will report directly to a Supervising Community Health Worker.

AmeriCorps Members will be responsible for the following duties:

· Conducting culturally and linguistically appropriate in person COVID-19 outreach which will consist of door knocking in neighborhoods, visiting local businesses, attending community events, and supporting vaccination clinics;
· Engaging community members to provide guidance and messaging on COVID-19 education, prevention, recovery, and other vital COVID-19 information;
· Supporting vaccine registration support to communities most impacted by the virus;
· Delivering healing-informed educational sessions centered around various public health topics;
· Offering resource navigation community members to support access to health and social services;
· Supporting a variety of public health activities assigned by LACDPH Regional Health Offices;
· Documenting community interactions and resource referrals in a timely manner using a data collection tool;
· Completing AmeriCorps training in addition to other mandatory programmatic trainings set forth by LACDPH;
· Adhering to responsible work habits, such as stating on task, remaining professional, and reporting for service on time;

Required Skills:

· Understanding of general health disparities and impact of COVID-19 on communities of color, low-income communities, and other highly impacted communities throughout Los Angeles County;
· Self-motivated to balance priorities and manage time when in the field and in the office;
· Aptitude to work both independently and as part of a team;
· Strong and effective communication skills, both written and oral;
· Capability to conduct educational sessions and presentations with a variety of groups;
· Ability to stay up to date with the latest information related to COVID-19, vaccines, testing, and policies

Minimum Qualifications:

· A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions such as outreach
· Be 18 years of age