Clinical Administrative Coordinator

About the Employer

The company operates within the healthcare sector, dedicated to enhancing health outcomes through technology. Their mission includes connecting individuals with care services, pharmacy benefits, data, and valuable resources to support well-being. The organization values inclusivity, offers extensive benefits, and focuses on career growth opportunities, aiming to positively impact global communities by promoting health optimization.

Job Overview

The role of Clinical Administrative Coordinator serves as the primary liaison for healthcare providers and members receiving post-acute care. This position delivers essential non-clinical administrative assistance to the remote clinical services team, facilitating smooth planning and communication surrounding care continuity and discharge processes. Accuracy in documentation and information exchange is key to effective care coordination for both providers and clients.

Key Duties

• Handle incoming and outgoing electronic communications while meeting established quality and productivity benchmarks.
• Accurately input, examine, and validate member data within care management databases.
• Complete administrative updates including member disenrollment, care transitions, and authorization changes.
• Support coordination efforts between healthcare providers and health plans for member care.
• Engage with providers, clients, and care team members appropriately to ensure seamless communication.
• Manage inbound calls and emails, properly triaging inquiries and escalating when necessary.
• Monitor and assess reports related to department operations.
• Act as a mentor and preceptor for new staff members, offering guidance and support.
• Provide peer assistance concerning operational procedures and processes.
• Participate in team reviews focusing on queue management and resource distribution.
• Develop and update training documentation and materials.
• Perform quality assurance audits and execute assigned corrections without delay.
• Engage in peer coaching and promote team involvement activities.
• Recommend topics for team meeting agendas to enhance discussions.
• Take on specialized assignments as needed.
• Assist with support ticket tracking, conducting time studies, follow-ups, and escalation workflows.
• Attend scheduled team meetings to stay aligned with organizational goals.
• Comply with company, departmental, regulatory, and compliance standards.
• Contribute positively to workplace culture and environment.
• Undertake other job-related duties as assigned.

Qualifications and Requirements

• Possession of a High School Diploma, GED, or comparable experience.
• Candidate must be at least 18 years old.
• Minimum one year of experience in healthcare-related office, administrative or clerical roles.
• Proficiency in communication using email, Microsoft Teams, fax, and messaging platforms.
• Availability to work 10-hour shifts from Saturday through Tuesday, 7:00 am to 5:30 pm CST, with flexibility for occasional overtime and weekend coverage.
• Preferred knowledge of medical terminology, HIPAA regulations, and healthcare environment experience.
• Ability to thrive in high-volume, fast-paced production settings.
• Proven track record of achieving performance targets.
• Strong verbal and written communication capabilities.
• Critical thinking and problem-solving skills.
• Familiarity with Microsoft Word, Excel, Outlook, and Teams applications.
• Detail-focused and skilled in accurate data interpretation.

Compensation

Salary and benefits will be based on the candidate’s expertise, skills, and relevant qualifications.

Equal Opportunity Commitment

The employer endorses diversity and practices equal opportunity hiring, providing fair consideration to all applicants regardless of race, color, religion, gender identity, sexual orientation, or national background.

Additional Information

Please note: The recruiting agency facilitating this role is not the Employer of Record. Their function is to connect qualified candidates with leading companies by directing applicants to apply directly through the hiring organization's official channels.