About Our Client:
The organization operates globally in the healthcare sector, utilizing technology to improve health outcomes. It addresses challenges in connecting individuals with care services, pharmacy benefits, and health resources to support healthier lives. The program impacts millions and emphasizes inclusion and career development opportunities.
About the Opportunity:
The CLINICAL ADMINISTRATIVE COORDINATOR supports clinical operations by managing service requests, referrals, and authorizations to improve process efficiency. This role ensures effective coordination between clinical teams, providers, and members, contributing to the overall healthcare delivery and patient experience.
Responsibilities:
- Manage requests for services from members and providers through various communication channels
- Process referrals and prior authorizations including intake and notifications
- Assist clinical staff with document preparation and case triage for Clinical Coverage Review
- Resolve inquiries from members and providers
- Participate in special projects or assignments as needed
Requirements:
- High School Diploma or GED, or equivalent work experience
- Minimum 18 years of age
- At least 2 years of customer service experience
- Proficiency with Microsoft Word, Excel, and Outlook
- Basic knowledge of medical terminology
- Ability to work 8-hour shifts between 7:00 am and 7:00 pm PST, including occasional overtime and weekend rotation
- Preferred: Experience with prior authorizations, healthcare industry, clinical settings, call centers, administrative support, and knowledge of ICD-9 and CPT codes
- Ability to maintain a secure and private work environment for remote work
- Must have access to approved high-speed internet
Pay Range and Compensation Package:
- Hourly pay ranges from $18 to $32 for full-time employment, based on factors including location, education, experience, and certifications
Benefits & Perks:
- 401(k) contribution
Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.