Web Inquiry Support Coordinator

3 weeks ago

Los Angeles, United States MedPOINT Management Full time
Job DescriptionJob Description

Summary

The Web Inquiry Support Coordinator provides effective web communication between MSO, IPA providers, health plan representatives to coordinate member care. Communication to include accessibility to care, validating contract, modification request and ensuring timeliness standards are met. The Web Inquiry Support Coordinator reports directly to the Outpatient Lead Coordinator under the guidance of the Supervisor.

Duties and Responsibilities

·         Daily processing of 120 web inquiries daily

·         Provide outstanding written communication

·         Identifies providers who show an educational need to follow State, Federal and plan requirements

·         Appropriately forwards referral request to the clinician for review as needed

·         Timely response to web inquiry submissions per UM department turnaround time

·         Responsible for modification request per coordinator hierarchy grid

·         Provides effective departmental communication with both internal and external sources

·         Process authorization requests per state and federal timeliness regulations

·         Research member history for duplication request

·         Request submission of appropriate of appropriate medical records according to requested services

·         Validate data entry process for errors

·         Verify member benefits and eligibility upon receipt of web inquiry request

·         Utilizes authorization matrix, ancillary rosters, DOFR and/or delegation agreement

·         Coordinates with referral Clinician and/or Medical Director for timely processing

·         Maintain knowledge of CMS & Medi-Cal policy guidelines i.e. Medicare LCD vs NCD

·         Identify & inform Case Management Clinician on complex care diagnoses

·         Screen cases for possible California Children Services (CCS) eligible condition

·         Collaborate with other departments (i.e. Claims, PNO, etc.) to resolve member/provider matters as needed

·         Data entry for additional requested services, as needed

·         Assist with special projects, as needed

·         Assists other team members with their workload, as needed

·         Regular attendance at UM team meetings

 

Minimum Job Requirements

·         High School graduate or GED equivalent

·         One-year medical office experience

·         Knowledge of medical terminology

·         Proficiency in Microsoft Office programs, especially Word and Excel

·         Proficiency in EZCAP a plus

 

Skill and Abilities

·         Ability to multi-task while remaining adaptable and flexible to fast-paced environment

·         Reliable, dependable, and accountable

·         Strong customer service skills with good telephone rapport

·         Ability to empathize with complex cases

·         Self-Motivation and ability to work effectively in an independent environment

·         Great critical thinking and problem-solving skills

 

  • Claims Inquiry Unit Representative

    3 weeks ago

    Los Angeles, United States MedPOINT ManagementHCLA Full time

    Job DescriptionJob DescriptionSummary:To serve as a liaison between IPA and its Members and Providers. Ensures that all Members and Providers receive a level of service that exceeds their expectations. Respond to and resolve questions and problems from current Providers/Members, or their representative and other appropriate parties.Duties and...

  • Claims Inquiry Unit Representative

    3 weeks ago

    Los Angeles, United States MedPOINT Management Full time

    Job DescriptionJob DescriptionSummary:To serve as a liaison between IPA and its Members and Providers. Ensures that all Members and Providers receive a level of service that exceeds their expectations. Respond to and resolve questions and problems from current Providers/Members, or their representative and other appropriate parties. Duties and...

  • Web Production Specialist

    5 days ago

    Los Angeles, United States Aquent Full time

    We are seeking a Senior Web Production Specialist to join our clients dynamic team. This role involves collaborating with cross-functional teams to create and optimize web experiences using Adobe tools. The ideal candidate will have extensive experience in web production, a strong understanding of Adobe Experience Platform (AEP), Adobe Experience Manager...

  • Web Production Specialist

    11 hours ago

    Los Angeles, United States Aquent Full time

    We are seeking a Senior Web Production Specialist to join our clients dynamic team. This role involves collaborating with cross-functional teams to create and optimize web experiences using Adobe tools. The ideal candidate will have extensive experience in web production, a strong understanding of Adobe Experience Platform (AEP), Adobe Experience Manager...

  • Web Production Specialist

    6 days ago

    Los Angeles, United States Aquent Full time

    We are seeking a Senior Web Production Specialist to join our clients dynamic team. This role involves collaborating with cross-functional teams to create and optimize web experiences using Adobe tools. The ideal candidate will have extensive experience in web production, a strong understanding of Adobe Experience Platform (AEP), Adobe Experience Manager...

  • Web Production Specialist

    7 days ago

    Los Angeles, United States Aquent Full time

    We are seeking a Senior Web Production Specialist to join our clients dynamic team. This role involves collaborating with cross-functional teams to create and optimize web experiences using Adobe tools. The ideal candidate will have extensive experience in web production, a strong understanding of Adobe Experience Platform (AEP), Adobe Experience Manager...

  • Web Designer

    4 weeks ago

    Los Angeles, United States Healthcare Staffing Professionals, Inc Full time

    Job DescriptionJob DescriptionHealthcare Staffing Professionals has an immediate need for a Part time Web Designer to support the Chronic Disease and Injury Prevention Program with the Los Angeles County Department of Public Health. The Web Designer will work under the direction of the Public Health Child Passenger Safety Program Director, the Child...

  • Web Administrator

    5 days ago

    Los Angeles, United States Queer Crush Climbing Full time

    We are seeking a highly skilled and detail-oriented Web Administrator to join our team. As a Web Administrator, you will be responsible for managing and maintaining our website to ensure optimal performance and user experience. You will work closely with various teams, including web developers, designers, and content creators, to ensure the website meets our...

  • Web Developer

    3 weeks ago

    Los Angeles, United States Soro Technologies Full time

    Responsibilities Develops implements and manages the front-end and back-end functionality of websites applications and services. Implements develops and supports site management tools including the content management system video/photo management systems and tools used throughout the UT Tyler websites. Provides reports and tracking on website...

  • Web Developer

    4 weeks ago

    Los Angeles, California, United States Soro Technologies Full time

    Responsibilities Develops implements and manages the front-end and back-end functionality of websites applications and services. Implements develops and supports site management tools including the content management system video/photo management systems and tools used throughout the UT Tyler websites. Provides reports and tracking on website metrics....

  • Marketing Coordinator

    6 days ago

    Los Angeles, United States Coco Republic US Full time

    We are one of Australia's leading furniture and design brands. Synonymous with quality, service and sophistication, the company is supported by a diverse offering of premium product and design services across Australia, New Zealand & California. Whilst we are proud of our product, we are even prouder of our people, a diverse group of talented and passionate...

  • Senior Web Production Specialist

    1 week ago

    Los Angeles, United States Solugenix Full time

    Senior Web Production SpecialistLos Angeles, CA/Irvine, CA (Hybrid) 12-Month contractJob ID 2024-9827 Solugenix is assisting a client, a prestigious and large investment management company in their search for a Senior Web Production Specialist. This is a 12-month contract opportunity based out of Los Angeles, CA/Irvine, CA (Hybrid).Qualifications:At least...

  • Senior Web Production Specialist

    7 days ago

    Los Angeles, United States Solugenix Full time

    Senior Web Production SpecialistLos Angeles, CA/Irvine, CA (Hybrid) 12-Month contractJob ID 2024-9827 Solugenix is assisting a client, a prestigious and large investment management company in their search for a Senior Web Production Specialist. This is a 12-month contract opportunity based out of Los Angeles, CA/Irvine, CA (Hybrid).Qualifications:At least...

  • Administrative Support Coordinator

    4 weeks ago

    Los Angeles, United States ASC Treatment Group Full time

    Job DescriptionJob DescriptionSalary: $18.00 - $20.25Under the general supervision of the Facility Administrator, the Administrative Support Coordinator (ASC) provides administrative assistance in the overall support of office tasks in a confidential setting.  The ASC performs and oversees a vast array of complex administrative and clerical functions in...

  • Social Media Coordinator

    6 days ago

    Los Angeles, United States Reality LA Full time

    **Overview** Reality LA is a non-denominational, Gospel-centered church located in Hollywood, California. We are looking to hire a part-time social media coordinator. **Role Summary** The social media coordinator’s role is to communicate the church's vision and mission through various social media channels, seeking to encourage the church body, invite...

  • Marketing Coordinator

    3 weeks ago

    Los Angeles, United States Coco Republic US Full time

    We are one of Australia's leading furniture and design brands. Synonymous with quality, service and sophistication, the company is supported by a diverse offering of premium product and design services across Australia, New Zealand & California. Whilst we are proud of our product, we are even prouder of our people, a diverse group of talented and passionate...

  • Project Coordinator

    4 days ago

    Los Angeles, United States Raya Workforce Full time

    Job DescriptionJob DescriptionCompany Overview:Our organization is a leading A & B licensed general contractor with over 30 years of experience in design-build, project execution, and consulting services. We pride ourselves on our multi-disciplinary expertise, successful project completions, and commitment to excellence. With a track record of delivering...

  • Senior Web Production Specialist

    1 week ago

    Los Angeles, California, United States Solugenix Corp Full time

    Overview: Senior Web Production Specialist Los Angeles, CA/Irvine, CA (Hybrid) 12-month Contract Job ID 2024-9827     Solugenix is assisting a client, a prestigious and large investment management company in their search for a Senior Web Production Specialist. This is a 12-month contract opportunity based out of Los Angeles, CA/Irvine, CA...

  • Social Media Coordinator

    4 days ago

    Los Angeles, United States Reality LA Full time

    OverviewReality LA is a non-denominational, Gospel-centered church located in Hollywood, California. We are looking to hire a part-time social media coordinator.Role SummaryThe social media coordinator's role is to communicate the church's vision and mission through various social media channels, seeking to encourage the church body, invite others to join...

  • Community Outreach Coordinator

    1 week ago

    Los Angeles, United States PM2CM Inc Full time

    The Community Economic Development (CED) Coordinator implements, coordinates, and markets the LACCD CED program to attract qualified, competitive contractors, A/E, and professional services firms to compete for BuildLACCD projects and contracts. Candidate must process knowledge of the public contracting process with proven capabilities to provide contractors...