Fulfillment Coordinator (CHC)
Community Health Choice, Inc. (Community) is a non-profit Health Maintenance Organization (HMO) licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 70 hospitals, Community serves over 260,000 Members with the following programs:
• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.
Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.
The Fulfillment Coordinator provides administrative support for the Member Services Call Center to include intake, processing, routing and response to mail, email, and facsimiles both incoming and outgoing. Completes timely documentation of requests and processing through Member Services Call Center data system (QNXT). The Fulfillment Coordinator must possess content knowledge in government programs (Medicaid/CHIP), commercial, and Affordable Care Act products. The Fulfillment Coordinator must have the analytical skills to quickly identify member issues and resolve issues within desired timeframes. The Fulfillment Coordinator will be responsible for being able to service members in a multi-faceted work environment, to include, but not limited to mail, email, facsimiles, and chat. The Fulfillment Coordinator will be completing usual and customer requests to include, but not limited to primary care physician change, demographic updates, billing inquiries, requests for member materials, and processing of higher complexity to include account research and reconciliation, review and determine outcomes of active and termed members, and the appropriate routing and resolution of member dissatisfaction and complaints.
Communication Skills: Writing /Composing,Correspondence /Reports
Benefits and EEOC
Community employees’ benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.
Community is an Equal Opportunity Employer.