Program Coordinator 1
Company: BCforward
Location: Wichita
Posted on: May 8, 2024
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Job Description:
Program Coordinator 1BC Forward is looking for Program
Coordinator 1 (Remote Work) Position Title: Program Coordinator 1
(Remote Work) Locations: REMOTE - (EST/CST) Anticipated Start Date:
6/11Expected Duration: 3 monthsJob type: Contract to HireShift: 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 environmentOperation of office equipment such as a
personal computerKnowledge of medical terminologyTime management &
organizational skills are a MUST Preferred Skills/ Experience:Great
excel skillsKnowledge of medical terminologyCommunication skills
required Education Requirement: High school diploma or
equivalentSoftware 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, Wichita , Program Coordinator 1, Other , Wichita, Kansas
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