Coordinator II at Partnership HealthPlan of California

Redding, California, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Aug, 26

Salary

34.0

Posted On

15 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Administrative Support, Data Entry, Customer Service, Microsoft Office Suite, Project Coordination, Report Generation, Inventory Control, Member Eligibility Verification, Meeting Coordination, Problem Solving, Oral Communication, Written Communication, Time Management, Managed Care Knowledge, SharePoint, Excel

Industry

Insurance

Description

Overview The Coordinator II will coordinate assigned departmental projects and provide complexadministrative support to department leaders. Develops, implements and monitors processes,tools, and systems for collecting, tracking and managing information required for monitoringperformance and deadlines. Develops and produces reports. In addition to the Coordinator Iduties, the Coordinator II may handle escalated calls, escalated Helpdesk inquiries, and mayfollow up with providers regarding missing documentation. Responsibilities ▪ Provides administrative support to management and general office and clerical duties asneeded to support the department.▪ Documents desktop procedures and updates annually to ensure content is current.▪ Enters data into various software systems. Maintains and updates all databases in useaccurately. Uploads department documents and files to SharePoint ensuring content isorganized and up to date.▪ Processes inventory by receiving and scanning documents, assigning numbers andtracking completion dates using Excel and other tools.▪ Produces and maintains correspondence, forms, reports, and other needed documentation.▪ Verifies member eligibility both electronically and using online systems.▪ Intakes information over telephone from providers for referrals and authorizations.▪ Performs general office and clerical duties as needed to support the department; opens,sorts, date stamps, and distributes mail; answers telephones and determines urgency andpriority of requests, questions, and issues; routes calls to appropriate staff in a courteousand professional manner; copies, faxes, files, and generates routine letters to providersand members.▪ May process documents within scope of authority but require additional knowledge andskillset than that of a Coordinator I.▪ May handle escalated calls and emails from providers and or internal partners.▪ Assists with creating training plans and onboarding of new staff to include chair-sidetraining.▪ May provide new hire orientation and training.▪ If applicable, reconciles capped provider discharges within our platform.▪ If applicable, contacts providers directly to reconcile records to manage volume for nursecoordinator work assignment accuracy and monitoring.▪ Coordinates meetings, including but not limited to, creating agendas, taking minutes, andsetting up conference rooms. ▪ Makes presentations to internal Partnership audiences of all levels.▪ Provides guidance and education on departmental contacts, resources and information.▪ Provides training and support to staff in the use of software, department programs,policies, and procedures.▪ Assists with requests from other departments by investigating facts, providinginformation, and/or escalating the issue to the appropriate person as needed.▪ Participates in the design of process improvements and supports the department withdevelopment of procedures, tracking and reporting tools.▪ Participates in special projects, assignments and/or other tasks as needed.▪ Coordinates and monitors inventory control processes to ensure production standards aremet.▪ Monitors reporting schedules and regulatory deadlines to ensure deadlines are met. Secondary Duties and Responsibilities▪ May support and cross trains to fill in for Authorization Specialist assignment.▪ Other duties as assigned. Qualifications Education and Experience High School Diploma or equivalent. At least two (2) to four (4) yearsof related experience required in the medical/clerical field; orequivalent combination of education and experience. Experience inphone-based customer service Special Skills, Licenses and Certifications Excellent oral communication with problem solving skills. Generalknowledge of managed care. Ability to work within aninterdisciplinary team structure and function in a fast-pacedenvironment while managing multiple priorities and meeting deadlines.Strong organizational skills required. Effective telephone andcomputer data entry skills required. Knowledge of computers andrelated applications and familiarity with spreadsheet applications.Minimum typing speed of 40 wpm. Knowledge of alpha-numeric filingsystems. Proficient in use of Microsoft Suite. Bilingual skills inSpanish, Tagalog, or Russian may be preferred. Performance Based Competencies Excellent oral and written communication skills and customer serviceorientation. Must be able to work in a fast-paced environment andmaintain courtesy and composure. Ability to follow establishedprocedures and protocol. Ability to communicate effectively withcoworkers, physicians and health care providers. Ability to functioneffectively with frequent interruptions. Work Environment And Physical Demands Daily use of telephone and computer for most of the day. Standardcubicle work station with a shared common area. Ability to use acomputer keyboard. Must be able to work in a fast-paced environmentand maintain courtesy and composure. Ability to function effectivelywith frequent interruptions. Must be able to lift, move or carry objectsof varying size, weighing up to 10 lbs. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated. HIRING RANGE: $28.94 - $34.00 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Responsibilities

The Coordinator II provides complex administrative support to department leaders and manages projects, processes, and reporting tools. Key duties include handling escalated inquiries, maintaining databases, and coordinating departmental workflows and meetings.