Program Coordinator Patient Access Center

Iowa, IA - USA

Monthly Salary: Not Disclosed

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

The Program Coordinator provides operational management support to the UI Patient Access Center (UI PAC) and health insurance plan administration support to the University Benefits Office. 70% of this role will be to support the Patient Access Center in managing the Facilitated Access Program and data analysis regarding Facilitated Access. Additionally the role will support data analysis for the capacity management team and meetings with FRIC/UI Health Care. 30% of the role is to deliver administrative assistance and expertise to the interpretation of health insurance benefits and accurate adjudication of UI benefit plans. This position works with employees retirees and students regarding health care including but not limited to facilitated access specialty referrals billing university benefit plan eligibility and claim issues.

Collect and analyze data on health plans services rendered.
Assist in evaluation of health plan reports for process improvements and outreach opportunities.
Meet with Director of Benefits as needed to discuss potential trends with medical and/or dental plan claim issues status of claim resolutions and opportunities to improve communications with our plan members.
Participate in University of Benefits staff meetings and as needed vendor calls.
Assist University Benefits Office in planning and communicating open enrollment information and attending and participating in New Employee Orientation and Open Enrollment meetings.
Complete insurance benefit projects as needed for University Benefits Office.
Primary owner of facilitated access projects strategies and goals.
Identify health plan issues and suggest corrective action for resolution.
Contributor to the development of pilot programs with UI family by providing case examples or other experiences.
Obtain prepare assemble marketing materials for open enrollment health fairs employee orientation etc.
Update UI Health Plan Office web site working in conjunction with Joint Office of Marketing and Communications.
Assist with presentations.
Maintain and optimize Facilitated Access reporting for the departments the UI PAC serves.
Counsel new hires newly enrolled and current plan members - faculty staff students and retirees. Assistance occurs over the phone by email and in-person. Some questions/inquiries are basic; however some are more complex and may require research or assistance from the University Benefits Office.
Partner with University Benefits staff to provide general health insurance information during UI Health Fair.
Primary correspondent for e-mail inquiries; triages the needs to a more appropriate resource when needed.
Establish departmental training plan for new employees and facilitate training and educational support for existing staff through communication of UI offerings that apply to select staff positions.
Maintain effective working relationships with faculty staff students patients payors and the public to promote utilization of UI benefit plans.
Resource for interpretation of plan benefits and accurate adjudication of UI benefit plans.
Enforce established medical policies and pre-approval procedures by educating UI Benefits staff of changes in BC/BS policies and making recommendations to clarify contracts for improved application to policies and procedures.
Adhere to HIPAA procedures when handling confidential information.
Evaluate program data on a monthly basis to ensure it is meeting strategic goals (i.e.: access satisfaction).
Support capacity management in data analysis.

Pay Level: 4A

Professional and Scientific Pay Structures University Human Resources - The University of Iowa

Required Qualifications:

A Bachelors degree in a health-related field or an equivalent combination of education and experience
1-3 years of health insurance benefit administration and healthcare billing practices.
Excellent written and verbal communication skills: ability to effectively transmit receive and interpret ideas information and need through appropriate communication methods and behaviors at an extensive level.
Demonstrates working knowledge and proficiency using all commonly used office support software (e.g. Outlook Excel etc.). Ability to prepare reports and analyze data in Excel and other database applications.
Demonstrated ability to facilitate positive outcomes and work effectively in ambiguous and complex situations with minimal supervision.
Highly effective interpersonal skills including demonstrated ability to establish and maintain an effective working relationships in the work/academic environment.
Demonstrated customer - focused and team-focused actions to exceed needs and expectations.
Strong analytical skills to identify opportunities for operational improvement and implementing effective changes

Desired Qualifications:

Experience in healthcare administration or operations.
Previous experience working with electronic medical record systems.
Knowledge of University policies procedures and regulations.

Application details:

In order to be considered for an interview applicants must upload the following documents and mark them as required to the submission:

Resume
Cover Letter

Job openings are posted for a minimum of 7calendar days and may be removed from posting and filled any time after the original posting period has ended.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification.
For additional questions please contact

Additional Information

Compensation

Contact Information

Required Experience:

Collect and analyze data on health plans services rendered.
Assist in evaluation of health plan reports for process improvements and outreach opportunities.
Meet with Director of Benefits as needed to discuss potential trends with medical and/or dental plan claim issues status of claim resolutions and opportunities to improve communications with our plan members.
Participate in University of Benefits staff meetings and as needed vendor calls.
Assist University Benefits Office in planning and communicating open enrollment information and attending and participating in New Employee Orientation and Open Enrollment meetings.
Complete insurance benefit projects as needed for University Benefits Office.
Primary owner of facilitated access projects strategies and goals.
Identify health plan issues and suggest corrective action for resolution.
Contributor to the development of pilot programs with UI family by providing case examples or other experiences.
Obtain prepare assemble marketing materials for open enrollment health fairs employee orientation etc.
Update UI Health Plan Office web site working in conjunction with Joint Office of Marketing and Communications.
Assist with presentations.
Maintain and optimize Facilitated Access reporting for the departments the UI PAC serves.
Counsel new hires newly enrolled and current plan members - faculty staff students and retirees. Assistance occurs over the phone by email and in-person. Some questions/inquiries are basic; however some are more complex and may require research or assistance from the University Benefits Office.
Partner with University Benefits staff to provide general health insurance information during UI Health Fair.
Primary correspondent for e-mail inquiries; triages the needs to a more appropriate resource when needed.
Establish departmental training plan for new employees and facilitate training and educational support for existing staff through communication of UI offerings that apply to select staff positions.
Maintain effective working relationships with faculty staff students patients payors and the public to promote utilization of UI benefit plans.
Resource for interpretation of plan benefits and accurate adjudication of UI benefit plans.
Enforce established medical policies and pre-approval procedures by educating UI Benefits staff of changes in BC/BS policies and making recommendations to clarify contracts for improved application to policies and procedures.
Adhere to HIPAA procedures when handling confidential information.
Evaluate program data on a monthly basis to ensure it is meeting strategic goals (i.e.: access satisfaction).
Support capacity management in data analysis.

Pay Level: 4A

Professional and Scientific Pay Structures University Human Resources - The University of Iowa

Required Qualifications:

A Bachelors degree in a health-related field or an equivalent combination of education and experience
1-3 years of health insurance benefit administration and healthcare billing practices.
Excellent written and verbal communication skills: ability to effectively transmit receive and interpret ideas information and need through appropriate communication methods and behaviors at an extensive level.
Demonstrates working knowledge and proficiency using all commonly used office support software (e.g. Outlook Excel etc.). Ability to prepare reports and analyze data in Excel and other database applications.
Demonstrated ability to facilitate positive outcomes and work effectively in ambiguous and complex situations with minimal supervision.
Highly effective interpersonal skills including demonstrated ability to establish and maintain an effective working relationships in the work/academic environment.
Demonstrated customer - focused and team-focused actions to exceed needs and expectations.
Strong analytical skills to identify opportunities for operational improvement and implementing effective changes

Desired Qualifications:

Experience in healthcare administration or operations.
Previous experience working with electronic medical record systems.
Knowledge of University policies procedures and regulations.

Application details:

In order to be considered for an interview applicants must upload the following documents and mark them as required to the submission:

Resume
Cover Letter

Job openings are posted for a minimum of 7calendar days and may be removed from posting and filled any time after the original posting period has ended.

Additional Information

Compensation

Contact Information

Required Experience:

Key Skills

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Identity & Access Management
LDAP
SAFe
Assistive Technologies
Authentication
Pediatrics Experience
NVDA
Sailpoint
SSH
SSO
Oracle

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About Company

UIOWA

The University of Iowa is a top-tier public research university in Iowa City—home to more than 32,000 students, offering world-class programs across 200+ fields of study, renowned especially for its creative writing, acclaimed medical center, and balanced excellence in the arts and sc ... View more

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