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.