Project Coordinator

Paramount Health Options

Are you looking for a new career with growth potential? Do you enjoy doing a variety of tasks in a fast-paced work environment? Paramount Health Options is experiencing unprecedented growth and is hiring for a newly created position.

Paramount Health Options (PHO), formerly Cedar Rapids Physician Hospital Organization, is a provider-owned, member-driven partnership formed in 1994. PHO works with physicians, allied health professionals and hospitals across Iowa, Illinois and Nebraska. Key services offered by PHO include payer contracting, payer credentialing and enrollment, recredentialing, hospital privileging, Medicare and Medicaid enrollment, ongoing monitoring, primary source verification, claims resolution, group purchasing, education seminars and office resources.

The Project Coordinator will work with PHO staff and clients to provide oversight and offer improvements to PHO’s privileging and credentialing processes. The Project Coordinator will meet regularly with physicians and client hospitals, build forms, create processes and continuously seek ways to save time, improve accuracy and reduce steps in the credentialing teams’ daily job duties.

The Project Coordinator will also process provider and facility credentialing applications, work with medical offices and providers to gather information, process the information in a specialized database, notify payers and facility clients of network additions, and other credentialing duties as assigned.

Skills and Requirements

  • High school diploma required, college degree preferred;
  • 3 years related experience;
  • Experience working with physicians, hospitals and insurance carriers;
  • Strong process improvement skills;
  • Must be detailed oriented;
  • Strong public speaking skills;
  • Strong knowledge of Microsoft Office;
  • Excellent written and verbal communication skills;
  • Ability to complete tasks in a timely and accurate manner;
  • Ability to make decisions within scope of position and work with minimal supervision;
  • Ability to work effectively as a team and independently with little direction;
  • Exceptional customer service skills;
  • Excellent organizational and time management skills;
  • Strong interpersonal skills when dealing with internal and external customers;
  • Ability to keep a positive attitude in difficult situations;
  • Ability to maintain confidentiality.

Job Responsibilities:

  • Work with clients to design service lines based on their specific needs and operationalize those services;
  • Meet with clients on a regular basis to assess current situation and possible efficiencies available;
  • Work with credentialing and provider services staff to improve processes;
  • Create reports from the credentialing database at the request of internal and external customers;
  • Build forms to be populated in the credentialing database and Portal applications;
  • Support management in any information technology issues with related software vendors and PHO’s IT vendor;
  • Maintain proficient knowledge of policies and procedures and recommend revisions when needed;
  • Accurate data entry and/or verification of data entry of the provider or facility application, licensure, and other required information to the credentialing database;
  • Confirm all required verifications are complete and have been performed according to required standards and within required timeframes;
  • Review and analyze complex provider and facility records;
  • Prepare files for annual audits by payers, coordinate annual audits with payers;
  • Answer inquiries regarding provider and facility credentialing status. Research and problem solve internal and external inquiries;
  • Work with external and internal customers to ensure timeliness and accuracy of all files;
  • Keep manager informed of concerns or problems with credentialing processes;
  • Communicate verbally and in writing with internal and external customers;
  • Contribute to team effort by accomplishing related tasks as needed;
  • Train new credentialing staff on the credentialing process;
  • Develop, manage and promote value-added services for members and clinics;
  • Develop and implement new services for members;
  • Actively and continuously analyze workflows to ensure optimal performance;
  • Attend education sessions as necessary;
  • Cooperates with operations to assure Company retains NCQA certification;
  • Maintain high levels of integrity and uphold ethical standards;
  • Conduct all interactions with internal customers with a high level of respect and gentleness in an approachable manner to promote a collaborative working environment;
  • Other duties as assigned.
Job Benefits:

This is a full-time position, with day-time flexible hours Monday through Friday.

Paramount Health Options offers a competitive benefit package including health, dental, life and disability insurance, health spending accounts, identity theft protection, paid time off, and a 401k retirement plan.

Application Instructions:

Please send resume and salary requirements to Erin Hoover via email by clicking apply now. 

Applying for:

Project Coordinator

Paramount Health Options

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Job ID: 76500

Posted 26 days ago

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