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Provider Service Coordinator (Korean-Speaking)

Company: Innovative Management Systems Incorporated
Location: Whittier
Posted on: August 3, 2022

Job Description:

Our team at IMS is looking for highly motivated individuals to join our growing start-up. We strive to innovate the healthcare industry by providing management and consultant services to Independent Physicians Associations (IPAs) and Health Plans. Our team utilizes their comprehensive knowledge of the healthcare industry to provide quality services for our contracted Medicare members in a fast-paced and multi-faceted environment. Our positions offer an in-depth perspective of the managed care industry to interested candidates that are looking to take risks and share in professional development and growth alongside our expanding company. If you are looking to make an impact in your career, in a flourishing new company, and in the healthcare industry, we welcome you to apply to join our team!We are looking for an applicant that is bi-lingual in Korean.The Provider Service Coordinator (PSC) is an integral part of the Provider Services Department with a primary goal to improve quality, act as an advocate to our Providers and Members while providing concierge services. The PSC must be able to utilize all policies and resources to answer questions and direct Providers and Members in order to resolve their concerns. The PSC will assist Provider Relations and Credentialing Department with tasks that also include interactions with providers, outreach to members and other business affiliates of IMS. Routinely communicate organizational policies, procedures and processes anticipate and respond to Provider education needs and conduct ongoing Provider and office staff trainings. Comply with all company policies, trainings, procedures, and expectations, along with all federal, state, and local laws, including HIPAA and confidentiality.Provider Service Coordinator has duties in the following:

  • 50% Customer Service Duties
  • 25% Provider Relation Duties
  • 25% Credentialing DutiesSome essential duties include:
    • Providing concierge-level customer service towards all calls/emails that come in
    • Liaison between IMS clients, members, and IMS departments in resolving issues and concerns.
    • Provides general information regarding the Company and programs available
    • Conducts portal trainings, assists and troubleshoots account issues
    • Responds to internal/external inquiries on application and enrollment matters
    • Performs internal audits for internal and external needs regarding credentialing and re-credentialing process
    • Assists Credentialing department by implementing credentialing and provider enrollment processes for identified healthcare providers
    • Assists in accurately inputting data entry of the credentialing documents into databases
    • Responds to internal/external inquiries regarding application and enrollment
    • Assist in conducting sanctions checks on providers and other contracted business affiliates/entities to ensure no exclusion in federal programsPosition:
      • Non-Exempt, Full Time
      • Pay Range: Starting $20 - $25 per hour; open competitive compensation
      • Benefits Eligible: Medical, Dental, Vision, Holidays, PTO, and more.IMS offers competitive compensation. We are an equal opportunity employer and seek diversity in our workforce.

        • Fluent in Korean language (can read and write)
        • Active Driver's License: may travel to visit clientsExperience:
          • At least 1+ years of related customer service experience preferably in a medical office, management service organization, and/or healthcare setting.
          • Familiar with Healthcare setting, plus
          • Call center experience and/or customer service experienceSkills/Knowledge:
            • Strong understanding of health insurance eligibility and authorization requirements
            • Excellent customer service and telephone etiquette
            • Knowledge of medical terminology and managed care system
            • Knowledge of insurance authorization process (preferred)
            • Conflict resolution and problem-solving abilities
            • Active listening and communicationEducation:
              • High School diploma or equivalent and work experience is required
              • Associate or Bachelor degree is preferredPI186191416

Keywords: Innovative Management Systems Incorporated, Whittier , Provider Service Coordinator (Korean-Speaking), Other , Whittier, California

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