Experience Inc. Jobs

Provider Coordinator

Start Date: 10/7/2024

Headcount: 10

Pay Rate: $14/hour

Working Hours:

40 hours / week during standard business operating hours Monday - Friday from 7am - 8pm AST (It may be necessary, given the business need, to work on Saturdays, occasional overtime, and holidays)

Agency Prescreen Questions:

1.Explain main responsibilities.

2.Validate availability.

3.Validate English proficiency.

4.Salary Expectation.

Primary Responsibilities:

• Responds to incoming provider calls and complete outbound calls to providers

• Resolves customer service inquiries which could include entering notification, provide status of an existing notification and determining if notification is required

• Manage and take ownership of administrative tasks as assigned

• Coordinate with care coordination timely to obtain case clarification

• Completes notification wizard along with ICD 10 and HCPC/CPT coding with strong attention to detail

• Notifying providers of case determination

• Constantly meets established productivity, schedule adherence, productivity and quality standards while maintaining good attendance and accountability

• Ability to multi-task, this includes ability to understand multiple products and multiple levels of benefits within each product

• Ability to remain focused and productive each day though tasks may be repetitive

• Organizing work and develop strategies to adapt to constantly changing workload

• Utilize job aids and critical thinking skills

• Punctual/Consistent Attendance is essential

Required Qualifications:

• 1+ years of experience in a production environment where you have been measured by goals and metrics

• Experience working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)

• Intermediate Windows PC navigation proficiency or higher and ability to navigate in multiple systems

• Professional proficiency in both English and Spanish (Please note that an English proficiency assessment will be required for this position)

• Ability to work 40 hours / week during standard business operating hours Monday - Friday from 7am - 8pm AST (It may be necessary, given the business need, to work on Saturdays, occasional overtime, and holidays)

Preferred Qualifications:

• Experience working within the healthcare industry

• Professional experience in a clinical, clerical, or administrative support related role

• Experience working with ICD-9 / 10 and CPT codes

• Working knowledge of medical terminology

Pay Details: $14.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act

• Los Angeles City Fair Chance Ordinance

• Los Angeles County Fair Chance Ordinance for Employers

• San Francisco Fair Chance Ordinance