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Provider Utilization Coordinator

Company: QTC Management, Inc.
Location: San Antonio
Posted on: May 16, 2022

Job Description:

Essential Duties and Responsibilities:

  • Consistent and effective communication with IPA providers and operations
  • Ability to effectively utilize reports and tools to communicate IPA provider schedules to the providers and to communicate and escalate information and trends to VAO
  • Proactively communicate issues/concerns with IPA provider schedules proactively to VAO leadership teams as necessary
  • Ability to coordinate with regional utilization manager (RUM) on IPA utilization issues
  • Responsible for building and adjusting provider's schedules
  • Constantly evaluates the utilization of dedicated IPA providers
  • Prevention of gaps and overbooking in provider's electronic schedules
  • Time slot capitalization which includes communication with operations scheduling staff
  • Effective management of electronic confirmation systems (i.e.eMessenger, Pega communicator, ACD) in order to minimize no show rates
  • Efficiently utilizes electronic tools and workflows in order to manage resources such as: ECW, UCM, eProcess and other tools as necessary
  • Ability to prioritize operations and provider's requests when and if necessary
  • Any other duties as assignedCompetencies:
    • Ability to follow and adhere to standardized process workflow on a daily basis
    • Highly skilled in multi-tasking while managing multiple priorities
    • Able to work various shifts and hours to cover multiple times zones
    • Strong knowledge of administrative and clerical processesEducation and/or Experience:

      • Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
        This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.ExperienceRequired
        • Experience utilizing EMR or case management software
        • Less than 1 year(s): Experience in a high volume healthcare setting with daily utilization of electronic scheduling software.EducationRequired
          • High School Diploma or better
          • GED or betterLicenses & CertificationsPreferred
            • Medical AssistantSkillsRequired
              • Written Communication
              • Verbal Communication
              • Provider Relations
              • Medical Scheduling Software
              • Customer Service
              • MS Office
              • Computer LiteracyPreferred
                • Organization
                • Team Player
                • Sense of Urgency
                • Phone Etiquette
                • Problem Solving
                • Multi-line phone
                • Medical Terminology
                • Electronic Medical RecordsBehaviorsPreferred
                  • Team Player: Works well as a member of a group
                  • Innovative: Consistently introduces new ideas and demonstrates original thinking
                  • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done wellMotivationsPreferred
                    • Job Security: Inspired to perform well by the knowledge that your job is safe
                    • Self-Starter: Inspired to perform without outside help
                    • Growth Opportunities: Inspired to perform well by the chance to take on more responsibility
                    • Goal Completion: Inspired to perform well by the completion of tasksEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: QTC Management, Inc., San Antonio , Provider Utilization Coordinator, Other , San Antonio, Texas

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