Administrative Coordinator- Bakersfield 1.2

The Administrative Coordinator provides vital non-clinical support to the Enhanced Care Management (ECM) program, reporting under the Revenue Cycle Management (RCM) department. This role helps ensure operational efficiency by handling administrative tasks that allow the ECM clinical team to focus on direct member care.

Requirements

• Greet and assist walk-in visitors in a low-traffic front office setting
• Support and update membership data, including Enhanced Care Management (ECM) membership and eligibility problems
• Ensure the accuracy of member data entries and resolve discrepancies as needed
• Monitor the authorization process, identifying and reporting discrepancies, denials, and authorization delays to management
• Maintains accurate eligibility records/data
• Verify member eligibility bi-monthly for both outreach and enrolled members
• Create and update member profiles in the Care Management Systems
• Add new members to outreach lists and verify eligibility for those sent via health plans
• Create outreach files for the outreach team and ensure timely communication of new attributions
• Ensure sensitive information is handled with a high level of confidentiality and discretion
• Save encrypted emails to the shared drive and member files as needed
• Direct referrals and health plan correspondence to the appropriate staff member for action
• Draft, proofread, and edit a variety of internal and external correspondence and documents
• Provide general office support: screen calls, distribute mail, make copies, and process paperwork in accordance with established procedures
• Maintain and organize departmental records in compliance with records management protocols
• Perform filing and document management, including scanning materials for electronic storage
• Respond to internal and external information requests in a professional and timely manner
• Assist with planning and execution of department projects and special assignments
• Performs all other duties as assigned