Coordinator - Integrated Transitional Care

Inland Empire Health Plans; Rancho Cucamonga (CA); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive salary

Hybrid schedule

On-site fitness center

Medical Insurance

Career advancement

Wellness programs

Flexible Spending Account

CalPERS retirement

457(b) matching

Paid life insurance

Pet care insurance

Job summary

Inland Empire Health Plans is seeking a Coordinator for Integrated Transitional Care to join their team. This high-paced position involves processing Authorization requests, verifying eligibility, and assisting Integrated Transitional Care Nurses with non-clinical functions.

Candidates must have at least two years of data entry experience, knowledge of ICD 10 and CPT codes, and excellent customer service skills. IEHP offers competitive salaries, hybrid schedules, and comprehensive benefits.

Qualifications

• Minimum of two years of experience as a data entry specialist.
• Experience preferably in an HMO or Managed Care setting.
• Utilization Management experience preferred.

Responsibilities

• Process Authorization requests and verify eligibility.
• Obtain additional information as requested by nurses.
• Complete all non-clinical functions as indicated.

Skills

Data entry

ICD 10 knowledge

CPT coding

Customer service

Computer applications

Education

High School Diploma or GED

Job description

What you can expect!

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to anauthentic experience!

Under the general direction of the Manager and Supervisor in the Integrated Transitional Care department, the Coordinator - Integrated Transitional Care is a high paced position that requires timely processing of Authorization requests, verifying eligibility, obtaining additional information as requested by the Integrated Transitional Care Nurses. This position requires that one be organized with the ability to multitask with a working knowledge of ICD 10, CPT coding and Medical Terminology. The Coordinator - Integrated Transitional Care will work as an extension of the clinical team to complete all non-clinical functions as indicated.

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Perks

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more

• Competitive salary.
• Hybrid schedule.
• State of the art fitness center on-site.
• Medical Insurance with Dental and Vision.
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development.
• Wellness programs that promote a healthy work-life balance.
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Education & Requirements

• Minimum of two (2) years of experience as a data entry specialist
• Data entry specialist experience preferably in an HMO or Managed Care setting
• Utilization Management experience preferred
• High School Diploma or GED required

Key Qualifications

• Must have a valid California Driver's License
• Requires knowledge of ICD 10 and CPT codes
• Knowledge of utilization management in a health care delivery setting preferred
• Managed Care or physician office a must
• Skilled with computer applications, including word processing, database, and spreadsheets
• Good customer service skills