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Member Coordinator @Pacific Health Group

[Hiring] Member Coordinator @Pacific Health Group

Apr 03, 2025 - Pacific Health Group is hiring a remote Member Coordinator. 💸 Salary: $23 - $24 per hour. 📍Location: USA.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

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 through in-depth conversations, reviewing medical history, and collecting relevant data.
  • Referral Processes: Managing and optimizing systems for directing members to appropriate services, healthcare providers, or specialists, while maintaining relationships with service providers.
  • Lead Care Management: Coordinating care for high-priority or complex cases, collaborating with healthcare providers, family members, and other parties to ensure continuous care.
  • Quality Assurance: Implementing and maintaining quality control measures, conducting regular audits, performance reviews, and obtaining member feedback.
  • Data Entry: Accurately inputting and updating member data in databases, ensuring confidentiality and data integrity.
  • Call Center Supervision: Overseeing call center operations, monitoring call quality, and implementing strategies to improve customer service.
  • Patient Verification: Verifying the identity and eligibility of patients or members, ensuring accuracy of provided information.
  • Resource Development: Creating and maintaining resources that support the team’s daily activities, including training materials and process documentation.
  • Mailing Distribution: Overseeing the distribution of physical materials such as flyers and brochures to members.
  • Additional Responsibilities: Taking on any additional duties as needed, including administrative support and 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

Key Attributes

  • 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

Working Conditions

  • Fully remote, 40 hours per week
  • Pay: $23 - $24 per hour
  • Hours: 8:30 AM - 5:00 PM, Monday through Friday

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Before You Apply
📍 Be aware of the location restriction for this remote position: USA
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Member Coordinator @Pacific Health Group
Customer Service
Salary 💸 $23 - $24 per hour
Remote Location
USA
Job Type full-time
Posted Apr 03, 2025
Apply for this position Unlock 55,377 Remote Jobs
📍 Be aware of the location restriction for this remote position: USA
Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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