Member Services Coordinator

ABOUT THIS JOB: At New Horizons, we are committed to providing exceptional services and support to individuals with Intellectual and Developmental Disabilities (IDD). We are currently seeking a passionate and dedicated Member Services Coordinator to join our team. In this role, you will be responsible for coordinating services and programs that enhance the quality of life for our Members.

JOB DESCRIPTION: As a Member Services Coordinator, you will play a vital role in ensuring that our Members receive the support and resources they need. You will work closely with our Members, their families, and our team of professionals to assess needs and develop individualized plans. Additionally, you will coordinate the implementation of services and monitor progress to ensure that goals are being met. This includes coordinating with external service providers, advocating for Members, and providing ongoing support and guidance.

Pay...

We are looking for an incredibly organized and detail-oriented Member Services Coordinator to become a valuable part of our team. As the successful candidate, you will play a crucial role in ensuring member satisfaction by making post delivery calls and gathering feedback. Additionally, you will assist members with any ongoing customer service needs and keep them updated on any plan changes. This is an exciting full-time position based in our office, offering competitive compensation and a comprehensive benefits package.

Primary Responsibilities and Duties: Phase I 

• Post delivery calls.  The primary job for this is to ensure Member satisfaction and to solicit an online review. 

• Survey follow up calls to ensure world class service.  

• Calling Members in regard to the Assured Care benefits and explaining how important the process is of having access to a network attorney for any amendments or...

Under the supervision of the Member Services Manager, processes claims and authorizations for qualifying members of Member Services programs offered the Paiute Indian Tribe of Utah. Coordinates collection and processing of claims. Provides backup support for Member Services Manager. Advises Member Services Enrollment Specialist on data entry standards for qualifying members. Assists with medical billing and coding where needed. Adheres to strict privacy policies protecting patient/client information.

Work Schedule:

Monday - Friday; 8:00 AM - 5:00 PM; 1 Hour Unpaid Lunch Break

Job Functions:

Include, but are not limited to, the following:

• Manages and maintains an accurate tracking system for PRC medical/dental invoices, purchase orders, and other areas requiring follow-up.
• Maintains strict confidentiality regarding protected health and personal information as required by HIPAA.
• Assists with PRC data...