Make a difference in the San Francisco Community. As a Transportation Coordinator, you will run point on ensuring our members are provided reliable transportation when medically necessary. Reporting to the Manager, Clinical Operations, you will schedule Non-Emergency Medical Transportation (NEMT) rides, manage authorization and documentation processes as well as work with transportation vendors, provider offices, and members to ensure effectiveness of transportation services.

Salary Range: $29.03 to $32.25 per hour

WHAT YOU WILL DO

• Coordinate the authorization and documentation processes associated with non-emergency medical transportation for eligible SFHP members, with duties including but not limited to:
  • Answering phone calls from vendors, providers, and members through the department’s Automatic Call Distribution line
  • Conducting telephone interviews with members, family members and/or significant others to determine members’ transportation needs.
  • Preparing transportation requests and distributing to appropriate team member for review
  • Obtaining and entering authorization requests for services
  • Utilizing case management system to complete authorizations, document and update transportation case information, and ensure that transportation requests are entered and assigned appropriately.
  • Ensuring that members are transported for scheduled appointments.
  • Performing administrative duties to track, organize, monitor and follow-up on current and new transportation requests.
  • Making recommendations and implementing program improvements that strengthen member access to transportation services.
  • Ensuring that all requests for Non-Emergency Medical Transportation are completed according to the state mandated guidelines.
• Work with members, transportation vendors, provider offices, and SFHP staff to ensure effectiveness of transportation services, with duties including but not limited to:
  • Working with provider offices to determine the date and time of members’ appointments.
  • Scheduling urgent and non-urgent NEMT requests from providers and members
  • Communicating issues and concerns related to transportation services to the relevant vendor in a timely manner.
  • Working with SFHP staff to gather information and resolve issues related to transportation cases .
  • Ensuring that transportation cases are routed appropriately.
  • Seeking guidance and direction from clinical staff regarding appropriateness of requested transportation service, as needed.
  • Assessing member satisfaction with transportation arrangements.
  • Identifying opportunities for improvement and making recommendations to improve member care.

WHAT YOU WILL BRING

• Bachelors degree in Social Sciences, Life Sciences, Business, or a related field, preferred or equivalent work experience.
• One year of customer service experience required; one year of experience with transportation scheduling preferred
• One year of experience with state and federal insurance programs, either from a provider or payer setting desired
• Bilingual in Cantonese or Spanish speaking preferred
• Knowledge of medical terminology and familiarity with diagnosis and service codes (ICD/CPT/HCPCS) preferred
• Strong working knowledge of Microsoft Office products
• Experience with Medi-Cal and/or Department of Health Care Services regulations and standards, preferred
• Experience in an HMO or experience in a managed care setting, especially utilization or claims, a plus

WHAT WE OFFER:

A competitive and robust compensation package, including:

• Health benefits
  • Medical: You’ll have a choice of medical plans, including options from Kaiser and Blue Shield of California. Employee-only coverage in the HMO plans is currently available at no cost and dependent coverage is heavily subsidized by SFHP.
  • Dental: You’ll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
  • Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
  • Retirement – Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
• Time off – 23 days of Paid Time Off (PTO) and 13 paid holidays.
• Professional development: Opportunities for tuition reimbursement, professional license/membership.
• An opportunity to work in a vibrant atmosphere with the most amazingly talented people who are shaping the future of healthcare!
• The chance to make a difference in the lives of many San Francisco residents!

ABOUT SFHP:

Established in 1997, San Francisco Health Plan (SFHP) is an award winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. SFHP was designed by and for the residents it serves and takes great pride in its ability to accommodate a diverse population that includes young adults, seniors, and people with disabilities.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.