Attribution Coordinator, Payer and Voluntary Alignment Operations

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

FULLY REMOTE WORK - ANY STATE

At VillageMD, we are looking for an Attribution Coordinator to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we have partnered with many of today's best primary care physicians. We are equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We are creating care that is more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we are looking for individuals who share our sense of premier service excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

In this role you will support our attribution efforts by offering outbound phone support, manage and maintain submission of voluntary alignment forms to major payers, and manage multiple investigative projects. The ideal candidate can communicate clearly with our senior patients as well as payer representatives, and can multitask between different projects and multiple platforms, in addition to processing with operational accuracy and excellence. Knowledge of the healthcare industry including insurance, medical terminology, and EMR systems is preferred but not required. The ability to have premier service interactions with patients, time management and attention to detail skills is critical to the success in this role.

• Utilize numerous insurance verification platforms and technologies to perform insurance eligibility checks for a wide array of patient populations
• Document and track results of insurance eligibility checks in manual tracking tool or Salesforce platform
• Investigate, obtain, and update accurate insurance information for patients to ensure documented and profiled coverage in the EMR is active and up-to-date
• Manage and maintain submission of voluntary alignment forms (VAFs) to various payers
• Work with payers and the attribution manager to Identify, compile, and communicate Voluntary Alignment Form issues and barriers to submission
• Follow up with payers regarding voluntary alignment submissions that did not result in attribution gain
• Correct and resubmit voluntary alignment forms based on payer feedback if necessary
• Work with various markets, Humana reps and the attribution manager to submit Humana PCP selections via voice recordings.
• Utilize Salesforce platform to identify, track, and document outcomes of Voluntary Alignment Form submission
• Educate patients on the importance of selecting a PCP with their insurance company
• Outreach to patients to assist them in selecting a PCP with their insurance company and track efforts using Salesforce platform workflow
• Become knowledgeable about salesforce workflows for panel management initiatives such as AWV, Stay Well and T65 scheduling.
• Provide training to markets or central teams about panel management salesforce workflows as needed.
• Any other job duties as described and needed regarding panel management or attribution accuracy

Skills for success

• Experience utilizing Microsoft Excel and Salesforce for tracking and documentation expected
• EMR knowledge, specifically Athena
• Medicare insurance and benefit knowledgeable
• Background in registration or working a front desk at a healthcare facility

Experience to drive change

• High School Diploma/GED preferred
• 1-2 years minimum experience in EMR systems
• 1-2 years minimum experience in insurance verification, outbound/inbound calls
• Self-motivated and goal-oriented individual
• Proper phone skills for communicating with Senior patients, clear verbal communication
• Adaptability and time management is a must
• Multitasking, flowing comfortably and efficiently between multiple platforms
• Accuracy and attention to detail
• Teamwork

This is a non-exempt position. The base compensation range for this role is $18.00/hr - $23.00/hr .  At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc.  The selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan.

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families.  Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.