Provider Operations Coordinator
Job Location:
El Segundo, CA - USA
Yearly Salary:
Posted:
Application Deadline:
Vacancies:
Department:
Job Summary
About Circadia Health
Circadia Health is a growth-stage healthcare AI company on a mission to prevent avoidable hospitalizations and transform senior-care operations. Our Circadia Intelligence Platform combines:
Contactless sensing that monitors respiration and motion with medical-grade accuracy
Native predictive models that detect 85% of preventable adverse events several days in advance
Enterprise integrations that operationalize predictions directly inside EHR care-coordination billing and compliance workflows
Today our technology touches 40000 post-acute patients daily across skilled-nursing home-health and home-care networks. We are backed by leading healthcare and AI investors and headquartered in El Segundo CA.
As Circadias Provider Ops Coordinator youll work directly with our Provider Operations team to manage the full lifecycle of incoming medical records requests coordinating closely with the RCM team as needed. Youll be the person who logs tracks prepares and reviews these requests to make sure the right documentation goes out accurately and on time.
This role is based out of our headquarters in El Segundo CA.
- Log and track all incoming medical records requests across payer portals fax mail and email maintaining accurate records of deadlines reference numbers and status.
- Prepare and consolidate required documentation into complete organized packets for each request.
- Review packets for accuracy including patient identity dates and completeness prior to submission.
- Submit completed packets to the requesting payer or entity through the appropriate channel and confirm receipt when required.
- Identify and escalate missing inconsistent or questionable documentation before it impacts a submission.
- Collaborate with the Revenue Cycle Management (RCM) team and Physician Operations to source claims billing and provider documentation needed for audit responses.
- Maintain and update the request tracking log escalating at-risk deadlines proactively.
- Maintain organized digital recordkeeping to support compliance and audit readiness.
- Submission packets are accurate and complete with no cross-patient or documentation errors prior to submission.
- Zero missed payer deadlines across the active caseload.
- Documentation gaps or inconsistencies are identified and flagged internally prior to submission.
- The request tracking log remains current and accurate at all times.
- Minimum 2 years of experience in a high-paced medical office setting managing incoming medical records requests and compiling clinical documentation.
- Working knowledge of medical records workflows HIPAA requirements and release-of-information processes.
- Experience working with EHR systems.
- High attention to detail with the ability to accurately cross-reference dates patient identifiers and documentation across multiple sources.
- Strong organizational skills with the ability to coordinate multiple requests and deadlines simultaneously without losing track of status or priority.
- Comfortable learning and adapting to new software tools and digital filing systems.
- Strong written and verbal communication skills.
- Ability to thrive in a dynamic evolving startup environment.
- Experience with payer audits ADRs SIU requests or Medicare Risk Adjustment/HCC documentation.
- Familiarity with remote patient monitoring (RPM/RTM) billing and CPT coding basics.
- Experience working in or with skilled nursing facilities (SNFs).
- Experience with esMD Kiteworks or other secure health information exchange portals.
- Proficient with PDF tools spreadsheets and document assembly software.
As a full-time Provider Ops Coordinator you will be employed by Circadia Health Inc. The anticipated annual base salary range for this full-time position is $50000 - $70000. The base range is determined by role and level and placement within the range will depend on a number of job-related factors including but not limited to your skills qualifications experience and location.
Annual salary is only one part of an employees total compensation package at Circadia Health. We also offer:
- 100% company-paid medical dental and vision coverage
- 401(k)
- Competitive time off with pay policies including vacation sick days and company holidays
- Impact: your work will influence care decisions for tens of thousands of seniors every day.
- Culture: hard-working mission-driven and collaborative with weekly and monthly social events like yoga beach bonfires and Wednesday/Friday team lunches.
Required Experience:
IC
About Company
Enabling early detection of respiratory failure powered by contactless sensing, clinic software, and artificial intelligence.
