Provider Utilization Coordinator Sr - (RHRP) - 8:00AM - 4:30PM at QTC Management, Inc. in San Antonio, Texas

Job Description:

Job Summary:

Supports RHRP 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 RHRP


• Proactively communicate issues/concerns with IPA provider schedules proactively to RHRP 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:

• Excellent communication skills in English, both written and verbal


• Proficient in relevant computer applications (i.e. MS Outlook, Electronic Scheduling software) with an ability to learn new software quickly. 


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


• Ability to communicate effectively with providers of all specialties


• Exceptional customer service principles and practices to both internal and external customers


• Excellent data entry and typing skills


• Highly skilled in multi-tasking while managing multiple priorities


• 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:

• High School diploma, or equivalent (GED)


• 1 to 3 years of experience in a high volume healthcare setting with daily utilization of electronic scheduling software

• Experience utilizing EMR or case management software


• Must be able to successfully pass contractually required Federal background check


• Contract requires U.S. Citizenship and ability to obtain a DoD Common Access Card (CAC)

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, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Provider Operations