[Hiring] Member Coordinator @Pacific Health Group

Role Description

We are excited to invite a dedicated and versatile Member Coordinator to join our dynamic team. As a key player in our member coordination department, this role is critical to ensuring the success and efficiency of our organization. You will be responsible for managing a wide range of member-focused activities that contribute directly to the quality of services we provide. This is an excellent opportunity for a highly organized individual with a passion for customer service, healthcare, and operational excellence.

• Member Assessments: Conducting comprehensive evaluations of our members' needs, preferences, and eligibility.
• Referral Processes: Managing and optimizing our systems for directing members to appropriate services, healthcare providers, or specialists.
• Lead Care Management: Taking the lead in coordinating care for high-priority or complex cases.
• Quality Assurance: Implementing and maintaining quality control measures across all department activities.
• Data Entry: Accurately inputting and updating member data in the organization's databases and management systems.
• Call Center Supervision: Overseeing the operations of the call center, including inbound calls and monitoring call quality.
• Patient Verification: Verifying the identity and eligibility of patients or members.
• Resource Development: Creating, updating, and maintaining resources that support the team’s daily activities.
• Mailing Distribution: Overseeing the distribution of physical materials such as flyers and brochures to members.
• Additional Responsibilities: Taking on any additional duties as needed, which may include administrative support or system updates.

Qualifications

• Strong organizational skills with a keen eye for detail
• Proven reliability and self-motivation to manage multiple tasks efficiently
• Adaptability to occasional changes in the workplace environment
• Proactive attitude and strong work ethic with a desire to contribute to team success
• Comfort with speaking on the phone for extended periods and handling sensitive information
• At least 2+ years in an office/administrative environment, ideally in a healthcare or member services setting

Requirements

• Excellent communication skills, both written and verbal
• Ability to multitask and prioritize effectively in a fast-paced environment
• Detail-oriented with a focus on accuracy and high-quality service delivery
• Team player with a positive attitude and collaborative approach

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance