Coordinator - Integrated Transitional Care (Short-Term Assignment)

Inland Empire Health Plans; Rancho Cucamonga (CA); On-site; USD 40,000 - 60,000; Full time

Job summary

IEHP in Rancho Cucamonga, CA seeks a Coordinator - Integrated Transitional Care for a short-term assignment. This role supports the clinical team by processing authorization requests, verifying eligibility, and obtaining information as requested.

Must be bilingual English/Spanish, pass a language assessment, and bring data entry experience, ICD-10 and CPT coding knowledge, and strong customer service. High school diploma or GED required; data entry in managed care preferred.

Qualifications

• Two years of data entry experience; preferably in an HMO or Managed Care setting.
• Experience with utilization management is a plus.
• Bilingual English/Spanish required for bilingual code only; written and verbal skills needed.

Responsibilities

• Process authorization requests and manage timely data entry.
• Verify patient eligibility and coordinate information required by the Integrated Transitional Care Nurse.
• Gather additional information as requested and support non-clinical functions for the clinical team.
• Maintain accurate documentation and ensure compliance with quality goals.

Skills

Data entry

Bilingual EN/ES

Multitasking

ICD-10 knowledge

CPT coding

Customer service

Education

High School Diploma or GED

Tools

MS Word

MS Excel

Database

Job description

This is a short-term assignment.

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 Nurse. 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.

Applicable to Bilingual job code only - This is a Bilingual (English/Spanish) position. The Team Member in this role must take a language proficiency assessment and must receive a passing score

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.

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
• Applicable to Bilingual job code only - Bilingual (English/Spanish) - written and verbal skills 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

Start your journey towards a thriving future with IEHP and apply TODAY!