Clinical Operations Support Specialist

VirtualVocations
Paterson, New Jersey, United States
Full-time
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A company is looking for a Clinical Operations Support Specialist to manage clinical documentation and support utilization management processes.

Key ResponsibilitiesReceive and review clinical documentation, preparing and assigning files for nurse reviewInvestigate and process claims, addressing routine to moderately complex issuesPerform administrative support functions, including data entry and managing departmental communicationsQualificationsBachelor's Degree in Business Administration or related field preferred3 years of clinical operations support experience in health insurance or healthcare environmentsKnowledge of medical terminology and health insurance claims processingUnderstanding of HIPAA regulations and Protected Health InformationIntermediate skills in Microsoft Office and proficiency with document management systems

1 day ago
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