Provider Utilization Coordinator Sr at QTC Management, Inc. in San Antonio, Texas

Job Description:

Job Summary:

Supports VAO operations and it’s providers by maintaining, utilizing and maximizing electronic scheduling software for Independent Physician Affiliates (IPA’s).

Essential Duties and Responsibilities:

• Consistent and effective communication with IPA providers and operations


• Ability to effectively utilize reports and tools to communicate IPA provider schedules to the providers and to communicate and escalate information and trends to VAO


• Proactively communicate issues/concerns with IPA provider schedules proactively to VAO leadership teams as necessary


• Ability to coordinate with regional utilization manager (RUM) on IPA utilization issues


• Responsible for building and adjusting provider’s schedules


• Constantly evaluates the utilization of dedicated IPA providers


• Prevention of gaps and overbooking in provider’s electronic schedules


• Time slot capitalization which includes communication with operations scheduling staff


• Effective management of electronic confirmation systems (i.e.eMessenger, Pega communicator, ACD) in order to minimize no show rates


• Efficiently utilizes electronic tools and workflows in order to manage resources such as: ECW, UCM, eProcess and other tools as necessary


• Ability to prioritize operations and provider’s requests when and if necessary


• Any other duties as assigned

Competencies:

• Ability to follow and adhere to standardized process workflow on a daily basis


• Ability to communicate effectively with providers of all specialties


• Excellent data entry and typing skills


• Able to work various shifts and hours to cover multiple times zones


• Strong knowledge of administrative and clerical processes


• Demonstrated ability to work as a team member as well as an individual contributor

Education and/or Experience:

• Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and  protected veteran status.