Coordinator program and coordinator
Company: BCforward
Location: Wichita
Posted on: May 8, 2024
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Job Description:
Program Coordinator 1 BC Forward is looking for Program
Coordinator 1 (Remote Work)
Position Title: Program Coordinator 1 (Remote Work)
Locations: REMOTE - (EST/CST)
Anticipated Start Date: 6/11
Expected Duration: 3 months
Job type: Contract to Hire
Shift: Day shift: 8:00am - 5:00pm EST / 8:30am - 5:30pm EST /
9:00am - 6:00pm EST with (1 hour lunch)
NOTE: Must have Inbound Call Center Experience.
Pay Rate: $20.00/hr on W2.
Job Description:
Position Purpose: Assist in activities related to the medical and
psychosocial aspects of utilization and coordinated care.
--- Assist in activities related to the medical and psychological
aspects of utilization and coordinated care
--- Outreach attempts via telephone to members assigned each
day
--- Consistently updating an excel spreadsheet with member
assignments listed
--- Consistent communication with supervisor
--- With each phone call- documentation is required in Virtual
Health
Describe the performance expectations/metrics for this individual
and their team:
--- Must be able to make high volume of outbound calls
--- Medical terminology
--- Reliable home internet is required with dedicated work space
due to HIPPA (Hardwire internet connection) - Please put on
Resume.
--- Completing 80-120 phone calls a day to the Medicare
Population
--- Compliance is required to be 100% of all assigned members
--- Engagement Rate will need to be at 80% or more a month
--- Time off is not permitted in the first 90 days of employment
unless pre-planned during the interview
--- Audit score of a minimum of 90%
--- Completion of 600 members a month is required (30 new members
daily assigned)
Required Skills/Experience:
2-3 years managed care setting, medical office or facility setting
with demonstration of medical administration duties
Thorough knowledge of customer service, utilization review or
claims processing practices in a managed care environment
Operation of office equipment such as a personal computer
Knowledge of medical terminology
Time management & organizational skills are a MUST
Preferred Skills/ Experience:
Great excel skills
Knowledge of medical terminology
Communication skills required
Education Requirement: High school diploma or equivalent
Software Skills Required :. Basic knowledge of Microsoft office
Education/Experience: High school diploma or equivalent. 2-3 years
managed care setting, medical office or facility setting with
demonstration of medical administration duties. Thorough knowledge
of customer service, utilization review or claims processing
practices in a managed care environment and operation of office
equipment such as a personal computer. Knowledge of medical
terminology.
For Illinois Youth Care contract: Required Education/Experience -
Bachelors Degree in nursing, social sciences, social work, or a
related field. 1 year supervised clinical experience in a human
services field.
For Oregon plan only: A valid driver's license is required.
* Initiate authorization requests for output or input services in
keeping with the prior authorization list. Research claims inquiry
specific to the department and responsibility.
* Perform tasks necessary to promote member compliance such as
verifying appointments, obtaining lab results. Assess and monitor
inpatient census.
* Screen for eligibility and benefits. Identify members without a
PCP and refer to Member Services. Screen members by priority for
case management (CM) assessment. Perform transition of care duties
to include but not limited to, contact the members attending
physician, member or medical power of attorney, other medical
providers (home health agencies, equipment vendors) for information
pertaining to special needs.
* Coordinate services with community based organizations. Attend
marketing and outreach meetings as directed to represent the plan.
Produces and mails routine CM letters and program educational
material.
Benefits:
BCforward offers all eligible employees a comprehensive benefits
package including, but not limited to major medical, HSA, dental,
vision, employer-provided group life, voluntary life insurance,
short-term disability, long-term disability, and 401k.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a
professional service, and workforce management expert, to fuel the
development and execution of core business and technology
strategies, BCforward is a Black-owned firm providing unique
solutions supporting value capture and digital product delivery
needs for organizations around the world. Headquartered in
Indianapolis, IN with an Offshore Development Center in Hyderabad,
India, BCforward's 6,000 consultants support more than 225 clients
globally.
BCforward champions the power of human potential to help companies
transform, accelerate, and scale. Guided by our core values of
People-Centric, Optimism, Excellence, Diversity, and
Accountability, our professionals have helped our clients achieve
their strategic goals for more than 25 years. Our strong culture
and clear values have enabled BCforward to become a market leader
and best in class place to work.
BCforward is an equal opportunity employer. All qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, sexual orientation, gender identity,
national origin, or protected veteran status and will not be
discriminated against based on disability.
To learn more about how BCforward collects and uses personal
information as part of the recruiting process, view our Privacy
Notice and CCPA Addendum. As part of the recruitment process, we
may ask for you to disclose and provide us with various categories
of personal information, including identifiers, professional
information, commercial information, education information, and
other related information. BCforward will only use this information
to complete the recruitment process.
This posting is not an offer of employment. All applicants applying
for positions in the United States must be legally authorized to
work in the United States. The submission of intentionally false or
fraudulent information in response to this posting may render the
applicant ineligible for the position. Any subsequent offer of
employment will be considered employment at-will regardless of the
anticipated assignment duration.
Interested candidates please send resume in Word format Please
reference job code 221916 when responding to this ad.
Keywords: BCforward, Salina , Coordinator program and coordinator, Other , Wichita, Kansas
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