Coordinator I - Partnership HealthPlan of California

Fairfield, CA 94534

About the Job

Overview:

The Coordinator I will provide coordination and administrative support to department teams and
management. Performs a variety of general clerical duties, including data entry, report
generation, manage and respond to call inquiries, manage internal Helpdesk inquiries, manage
and assign follow up inquiries from other departments, creates and revises desktop protocols, and
develops forms and presentations.

Responsibilities:

▪ Provides administrative support to management and general office and clerical duties as
needed to support the department.
▪ Documents desk procedures and updates annually to ensure content is current.
▪ Enters data into various software systems. Maintains and updates all databases in use
accurately. Uploads department documents and files to SharePoint ensuring content is
organized and up to date.
▪ Processes inventory by receiving and scanning documents, assigning numbers, and
tracking completion dates using Excel and other tools.
▪ May process documents within scope of authority within the current platform.
▪ Responsible for tracking and managing all follow-up inquiries from other departments
and assigns and/or completes timely.
▪ May maintain Health plan updates within the system when applicable to work assignment
and or requested.
▪ May maintain work assignment grid and make assignments as outlined.
▪ 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 and
priority of requests, questions, and issues; routes calls to appropriate staff in a courteous
and professional manner; copies, faxes, files, and generates routine letters to providers
and members.
▪ Coordinates meetings, including but not limited to, creating agendas, taking minutes, and
setting up conference rooms.
▪ Other duties as assigned.

Qualifications:

Education and Experience	High School Diploma or equivalent. One (1) year of related experience in the medical/clerical field; or equivalent combination of education and experience. Experience in phone-based customer service may be preferred.
Special Skills, Licenses and Certifications	Excellent written and oral communication with problem solving skills. Proficient data entry, telephone, and computer skills, including proficiency in multiple software applications including Microsoft Office Suite and SharePoint. Ability to work within an interdisciplinary team structure and function in a fast-paced environment while managing multiple priorities and meeting deadlines. Strong organizational skills required. Excellent interpersonal and customer service skills. Bilingual skills in Spanish, Tagalog, or Russian may be preferred.
Performance Based Competencies	Excellent written and verbal communication skills. Ability to follow established procedures and protocol. Ability to communicate effectively with coworkers, physicians, and health care providers. Must be able to work in a fast-paced environment and maintain courtesy and composure when dealing with internal and external customers. Ability to function effectively with frequent interruptions and direction from multiple team members.
Work Environment And Physical Demands	Daily use of telephone and computer for most of the day. Standard cubicle workstation with a shared common area. Ability to use a computer keyboard. Must be able to lift, move, or carry objects of 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

$27.56 - $32.38

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.

Source : Partnership HealthPlan of California