- Respond to requests by transportation vendor as appropriate.
- Attend bi-weekly travel interdepartmental meetings.
- Assist to resolve travel related issues with provider and/or member.
- Monitor the travel portal by vendor.
- Monitor travel escalation emails.
- Create Authorizations as needed.
- Confirm member eligibility and benefits.
- Verify appropriate information is completed on RAN documentation needed for appropriate coordination process
- Contact Provider's office to gather additional member information (if applicable) to complete request, which may include appointment check-in time, location, companions, and etc.
- Notification of travel updates as needed to member, provider and/or Health Services team staff.
- Input authorized requested services and assign authorization numbers according to plan guidelines
- Create a tracking system for member reimbursements.
- Ability to organize, prioritize, communicate and manage workload effectively and efficiently
- Communicate professionally with external and internal consumers regarding travel and clinical prior authorizations.
- Assist with preparation, tracking and maintenance of reports necessary to carry out the functions of the department. Prepares periodic reports for management, as necessary or requested, to track strategic goal accomplishment
- Communicate regularly with other employees, managers and other designated contacts within the organization
- Perform other duties and responsibilities, as assigned
- Responsible to maintain AlohaCare's confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title.
- High School Diploma or Equivalent
- 1-3 years of experience in customer service or equivalent.
- Strong verbal and written communication in English.
- Equivalent combination of education, experience and credentialing.
- Requires operation of general office equipment to include; PC, fax/copy machine and ACD Mitel Phones.
- Advanced skills using Microsoft Programs; Word, Excel, Outlook and PowerPoint.
- Achieves results, builds trust, communicate effectively, customer and quality focused.
- Ability to multi-task, adapt to changing priorities, manage a diversity of high priority projects in a fast-paced environment. Able to accept direction.
- Ability to problem solve, analyze, think critically, good judgment and make fair decisions.
- Inside working conditions.
- No environmental hazards.
- Sedentary Work: Exerting up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
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Travel Coordinator - Honolulu, United States - AlohaCare
Description
Job Description
Job DescriptionApply on line at
The Company:
AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers that founded us and continue to guide us as well as with others that share our commitment. As Hawaii's third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage in order to successfully build a healthy Hawaii.
The Culture:
AlohaCare employees share a passion for helping Hawaii's most underserved communities. This passion for helping and caring for others is internalized and applied to our employees through a supportive and positive work environment, healthy work/life balance, continuous communication and a generous benefits package.
AlohaCare's leadership empowers and engages its employees through frequent diversity, recognition, community, and educational events and programs. AlohaCare has a strong commitment to support Hawaii's families and reinforces a healthy work/home balance for its employees. Because AlohaCare values honesty, respect and trust with both our internal and external customers, we encourage open-door, two-way communication through daily interactions, employee events and quarterly all-staff meetings. AlohaCare's comprehensive benefits package includes low cost medical, dental, drug and vision insurance, PTO program, 401k employer contribution, referral bonus and pretax transportation and parking program.
These employee-focused efforts contribute to a friendly, team-oriented culture which is positively reflected into the communities we serve.
The Opportunity:
Position Summary:
The Travel Coordinator is responsible to facilitate the initial intake and processing of travel/enabling services authorization requests . The Travel Coordinator will work with clinicians (i.e. nurse, care coordinators), service providers, AlohaCare members and other internal departments to ensure access to enabling services when approved under plan benefit. Travel Coordinator must follow plan guidelines and meet required turnaround times. Will be responsible for a varied workload and provides administrative support in the most efficient, accurate, and professional manner possible. Position requires the use of judgment and initiative to determine approach or action for necessary non-routine situations.
Primary Duties & Responsibilities:
Required Competencies & Qualifications:
Physical Demands/Working Conditions:
Salary Range: $ $19.00 an hour
AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record), disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veterans status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.
