Provider Staffing Coordinator at Overland Park

Job Description

This position receives/responds to incoming calls from referral sources/patients for CareCentrix and contacts referral sources to advise them of referral status. Gathers information using scripted clinical and non-clinical questions. Performs Utilization Management and participates in performance improvement activities (specific measurement for contracts). Works under moderate supervision with clinical oversight, as needed.

1. Abides by and demonstrates the company Mission - Vision - Values through both behavior and job performance on a day-to-day basis.
2. Receives/responds to incoming calls from referral sources/ patients, exchanges information in order to identify the patients needs and assist in determining the Companys ability to meet them. Documents the outcome of calls and referral acceptance in an automated manner.
3. Contacts referral sources to advise them of referral status. Relays referral and utilization information to the clinical team who will deliver the services requested.
4. Access payer fact sheets to determine if the terms of the contract are covered. Works with the Patient Registration and EBA teams, contracted providers and patients to identify potential solutions as problems are identified with payer sources.
5. Communicates customer service/provider issues to up-line managers and maintains issue logs as appropriate.
6. Understanding that timely and accurate documentation is critical to the success of CareCentrix.
7. Ability to negotiate with providers when needed and stay within the guidelines.
8. Participates in special projects and performs other duties as assigned.

Job Requirements

This position requires excellent communication, customer service and problem solving skills, as well as, the ability to effectively interact with all levels of management and a highly diverse clientele. Must have strong organizational skills and be able to effectively manage and prioritize tasks. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.

Required Experience

High School Diploma or the equivalent plus a minimum of one year medical terminology and medical services experience required. Experience with ICD-9 coding preferred. Knowledge of basic spreadsheet / word processing / data entry and basic math skills required

Country: USA, State: Kansas, City: Overland Park, Company: CareCentrix.