Administrative Coordinator

Catalyst Health Group

  • Plano, TX
  • Permanent
  • Full-time
  • 1 month ago
  • Apply easily
The Administrative Coordinator will help our communities thrive by providing support to the care management team, educating members about program benefits, and assisting providers with achieving successful quality performance. We are a culture that is unabashedly driven by purpose. We are making a difference to our patients and providers while growing at an accelerated rate.Every day, we support the health journey of patients by authentically living our core values: Purpose Driven, Relationships Matter, Serve Others First, and Inspire Creativity. If you love serving others and would like to make a material difference in an industry-transforming organization, then we invite you to apply to this role. We are recognized as one of the Top 100 Places to Work by The Dallas Morning News, and we have been awarded as one of the fastest-growing privately held companies by SMU Cox.Accountabilities
  • Administrative Coordinator reports to the management staff and is under the direct supervision of the Care Manager-RN.
  • Complete assigned tasks related to care coordination.
  • Identify gaps in care and assist members with gap closure.
Role and Responsibilities:
  • Assemble information concerning patient's clinical background from various hospital portals and EMRs.
  • Communicate ADT status of members to the provider via EMR.
  • Generate tasks and queues to the assigned Care Manager.
  • Assists with data entry, faxing, filing and other clerical tasks.
  • Request records from provider's offices as needed.
  • As directed and supervised by the Care Manager assist in the attainment of members' goals by:
  • Calling the identified member to offer a review of the Disease Management programs, discuss gaps in care, and assist with scheduling indicated medical screenings as appropriate.
  • Assisting with incoming and outgoing calls, answering questions regarding gaps in care and obtaining information as requested by licensed staff.
  • Informing the member how to access resources.
  • Arrange provider follow-up appointments.
  • Identify HEDIS/STAR measures that have not been completed during the performance period.
  • Navigate various practice EMRs and retrieve medical records supportive of HEDIS/STAR measures.
  • Submit documentation via payer portals or fax.
  • Complies with Customer Service expectations as applicable to the Department and Health Plan.
  • Ensure data submitted to payers meets technical requirements for HEDIS/STAR completion.
  • Maintain accurate records of review and submission activities.
  • Maintain knowledge of quality measure specifications.
  • Comply with all departmental policies and procedures.
  • Performs other related duties as assigned.
Minimum Qualifications and Requirements:
  • High school graduate.
  • Computer literacy in Word, Excel.
  • Excellent written/verbal communication skills, especially the ability to communicate telephonically in a professional and effective manner.
  • Ability to handle multiple demands of diverse workload and prioritize urgent issues
  • Self-motivated with the ability to work independently, as well as within a team environment.
  • Ability to adapt and quickly learn electronic programs.
Preferred Experience:
  • Some college education preferred in the allied health professional field of study.
  • Healthcare-related experience is preferred.
  • Previous EMR experience preferred.

Catalyst Health Group