Service Coordinator, CCA

HealthPartners; Saint Paul (MN); On-site; USD 42,000 - 62,000; Full time

Job summary

HealthPartners is seeking a Service Coordinator, CCA, to investigate and resolve a wide range of customer questions and issues, enhancing patient and provider experiences. The role collaborates with Case Management, Claims, and other teams to ensure accurate information, timely resolutions, and compliant documentation.

The position requires strong communication, problem solving, and organizational skills, with experience in health care and familiarity with CarePartner or similar systems.

Qualifications

• Bachelor’s or Associate degree or 4 years related experience required.
• Medical Terminology class/training or related experience preferred.
• Strong computer skills with Word, Excel, and e-mail.

Responsibilities

• Investigate and resolve complex customer questions and issues.
• Enter support and intervention activities in CarePartner with correct cost and codes.
• Handle provider questions including billing and authorization concerns.
• Coordinate equipment orders and follow up on delivery.
• Maintain documentation for data collection and audits.
• Communicate effectively with patients, providers, and staff to ensure satisfaction.
• Build and maintain relationships with colleagues and external customers.

Skills

Customer service

MS Word

MS Excel

Communication skills

Problem solving

Organizational skills

Independent work

Medical terminology

Education

Bachelor’s degree or Associate degree

Medical Terminology training

Job description

HealthPartners is hiring a Service Coordinator, CCA. This position investigates and resolves a wide variety of complex customer questions and issues in a manner which will enhance HealthPartners’ reputation as a caring and responsive health care organization. Responsible for providing information and feedback with regard to follow up actions, policies and practices of HealthPartners. The position will provide an improved experience for patients, vendors/providers, and staff.

ACCOUNTABILITIES:

• Investigates and responds to complex customer questions, issues or requests. Contacts customers to assure accurate understanding of problem. Researches/collects information necessary to answer the customer’s request and communicate resolution to the customer.
• Enters Support and Intervention activities in CarePartner for services and equipment ordered; enters the correct cost, service and codes.
• Handles provider issues and questions, including billing questions.
• Orders equipment and supplies and follows-up to ensure that equipment was received.
• Works with Case Management Technical Assistants and Claims to resolve RAI’s (requests for additional information) or Service Authorization discrepancies.
• Assists in the preparation and research required for audits of claims, billing and department operations.
• Assists other staff members in problem solving where customers are involved.
• Provides data and creates ad hoc reports as requested to assist in identifying trends and areas where quality improvement strategies should be focused.
• As requested, assists in providing necessary documentation for data collection efforts used to analyze customer concerns and to report them to management and other interested departments/agencies.
• Works with claims, patients, and vendors regarding issues with waiver obligations.
• Establishes and maintains good working relationships with colleagues in the department, as well as other areas that support case management including external customers.
• Documents all patient and provider contacts in CarePartner.
• Makes outreach calls to patients and providers as needed and directed.
• Assists in maintaining a cohesive team by contributing to a collaborative, respectful, and diverse environment.
• Participates in, and contributes to appropriate departmental and organizational meetings.
• Communicates effectively with providers, customers, and members resulting in high levels of customer satisfaction.
• Identifies and promptly reports to leadership any potentially adverse situations.
• Maintains confidentiality of information in accordance with department and corporate policies.
• Maintains maximum individual productivity through proficient use of automated systems.
• Willingly participates in various committees, task forces, projects, and quality improvement teams as needed or assigned.
• Performs other duties as assigned.

Specific to the MN Senior Health Options (MSHO) and MN Senior Care Plus (MSC+) position:

• Liaison between HealthPartners and contracted counties
• Identifies agencies for Elderly Waiver services and make referrals.
• Coordinates the work around Elderly Waiver vendors, authorizations and Requests for Additional Information (RAI) and issues.
• Arranges home visits for patients of the same primary language including arranging interpreter services.
• Uses the Elderly Waiver network database as well as recommendations from staff to identify providers matching the member’s needs.
• Uses excellent customer relations, judgment, and Elderly Waiver network knowledge to assist members and providers.

Specific to the Disease Management position:

• In cooperation and collaboration with Disease Management (DM) Leadership, acts as liaison between HealthPartners and telemonitoring vendor.
• Orders telemonitoring equipment follow-up to ensure that equipment was received.
• Works with Case Management Technical Assistants to ensure timely turnaround time for DM registry assignments works to resolve issues and escalates issues appropriately to DM leadership.

REQUIRED QUALIFICATIONS:

• Bachelor’s degree or Associate degree or four years of related experience.
• Minimum of three years customer service experience, preferably in the health care industry.
• Medical Terminology class/training or 1 year related experience.
• Excellent computer skills using Microsoft Word, Excel and e-mail.
• Excellent phone etiquette and customer service skills.
• Excellent oral and written communication skills.
• Good problem solving skills.
• Excellent organizational skills.
• Ability to work independently and within established time frames.
• For SNBC, experience working with persons with disabilities

PREFERRED QUALIFICATIONS:

• Prefer experience with one or more HealthPartners systems such as CarePartner, HCSS, or Epic.
• Previous experience in a health care environment.
• Knowledge of claims payment, waiver services, and managed care.
• Bilingual or previous work experience with a diverse population to enhance the customer experience of members.

DECISION-MAKING:

• Identifies complex questions or situations and consults with the appropriate Supervisor for resolution.
• Makes recommendations to program leadership for service and workflow improvements.