Job Summary
The Clinical Administrative Coordinator is primarily responsible for ensuring compliance with state contract requirements for processing member referrals and authorizing covered services and benefits.
This role collaborates with a multidisciplinary team to maintain timely and accurate processing of member referrals, authorization of services, and communication with members and providers.
Pay : $17.25 22.25 an hour based on experience (overtime will be paid at 1.5 times the normal hourly pay rate).
Hours : Full Time - Monday-Friday 8am-4 : 30pm HST
Why this Opportunity?
- Top ranked company in Fortune’s World’s Most Admired Companies 14 years in a row.
- This healthcare client is ranked number one in key attributes of reputation : Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness
Status : Long Term Consultant. Long term consultant, no end date, with good job stability. There is always potential for conversion to FTE status with the client for the right employee upon business needs.
Almost all of the positions within this client start off as a consultant due to being a Fortune 100 company.
Effective Date / Tentative Start Date : Interviewing Immediately
Job Duties :
- Conduct telephonic outreach to members regarding services and referrals
- Handle both incoming and outgoing calls to healthcare providers
- Manage member mailings and other correspondence
- Update member demographic information and notify the state of changes
- Authorize home and community-based services for members
- Perform data entry for various forms, assessments, and member documentation
- Manage incoming mail, including scanning, uploading, and notifying relevant staff
- Process member referrals and assign them to appropriate health coordination services
Requirements
- 2+ years of experience working in the health care industry
- 2+ years of experience analyzing and solving customer problems
- 2+ years of experience working with medical terminology
- High school diploma or equivalent
- Experience in a hospital, physician's office or medical clinic setting
- A reliable high-speed internet connection (the faster the better)
- Ability to pass a background check and drug test
- Private, quiet, and distraction-free workspace in a room with a closed-door
Highly Preferred
- Large corporation experience
- Health plan / managed care / healthcare industry experience
- Experience in a hospital, physician's office or medical clinic setting
- Clerical or administrative support background or experience working in a call center environment
- Experience working with Medicare and / or Medicaid Services Benefits Offered :
- Weekly pay
- Weekly pay
- Medical, dental, and vision coverage
- Voluntary Life and AD&D coverage
- Paid Training
- Opportunity for advancement upon performance and availability
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Large managed care company is looking for Clinical Administrative Coordinators for processing member referrals and meeting state required timeframes for authorization of covered benefits and services. Clerical or administrative support background or experience working in a call center environment. ...
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