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HCC Risk Coordinator in Orange at Prospect Medical Systems

Date Posted: 3/13/2019

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Orange
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    3/13/2019
  • Job ID:
    11939

Job Description



HCC Risk Coordinator

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The HCC Coordinator makes calls to and answers calls from providers and their staff regarding HCC Risk Adjustment Department reports and projects.  The coordinator also serves as a clerical resource for other team members and management



Job Responsibilities/Duties

  • Assist with projects for the HCC Risk Adjustment team and other assignments received by management.
  • Research and provide courteous, accurate and timely response to inquires by providers as related to HCC Risk Adjustment projects and reports.
  • Document all phone calls regarding chart audits in IDX/CSR system on a daily basis.
  • Responsible for departmental provider report mailings to all providers. 
  • Retrieving progress notes and faxes from provider relations and provider office.  Distribute all incoming faxes, progress notes and chart audits.
  • Timely reporting of internal and external audit summaries to the Manager of HCC Teams.
  • Notify management of call type trends and complaints immediately with accurate details by provider.
  • Mails post cards appointment reminder and gift cards to members. Other duties as assigned by management based on departmental needs for HCC
  • Fax wellness results to back to pcp’s within a timely manner.


Qualifications

Minimum Education: A High School Diploma or Equivalent; BS/BA preferred.

Minimum Experience: At least one (1)year relevant experience within the healthcare industry. At least one year experience in creating and generating reports.

Req. Certification/Licensure: None.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit   http://pmh.com/careers/  and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm



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