Clinical Administrative Coordinator Job Description
Clinical Administrative Coordinator Duties & Responsibilities
To write an effective clinical administrative coordinator job description, begin by listing detailed duties, responsibilities and expectations. We have included clinical administrative coordinator job description templates that you can modify and use.
Sample responsibilities for this position include:
Clinical Administrative Coordinator Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Clinical Administrative Coordinator
List any licenses or certifications required by the position: MA
Education for Clinical Administrative Coordinator
Typically a job would require a certain level of education.
Employers hiring for the clinical administrative coordinator job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Health, Healthcare, Associates, Education, Business, Technical, Medical, Health Care, Sciences, Management
Skills for Clinical Administrative Coordinator
Desired skills for clinical administrative coordinator include:
Desired experience for clinical administrative coordinator includes:
Clinical Administrative Coordinator Examples
Clinical Administrative Coordinator Job Description
- Support clinical staff with QOC Inquiry correspondence within 1 business day
- Thoroughly document activity
- Welcome the member to the health plan by verifying key information about the member (home address, PCP assignment, ) and discussing the benefits available through the plan
- When appropriate, encourage members to appropriately utilize services in an effort to improve the health and well-being of all members
- Responsible for the resolution of escalated Member calls that are received by the Member Advocate team
- Pull/gather data from relevant computer/electronic systems and software applications (e.g., imaging
- Clarifications or corrections to data from relevant stakeholders (e.g., return missing/incorrect documents to submitters
- Process admission notifications
- Create a positive experience with the member
- Assist members who are dealing with the most complex and difficult issues, including homelessness, trauma, physical health issues
- Ability to work in Central and/or Mountain Time
- 2+ years experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
- Knowledge of sampling methods and measurement techniques
- Must be comfortable with up to 25% travel within the local area
- Must be able to create, edit, save and send documents using Microsoft Word, Excel and Outlook
- Capability to navigate laptop applications, create and send e-mails and formulate data entry
Clinical Administrative Coordinator Job Description
- Respond to concerns and questions from members and families
- Handles internal and external requests submitted through the Support Service mailbox
- Processes Intensive Outpatient Program authorizations submitted via spreadsheet for select facilities utilizing guidelines established by the ALERT Practice Management team
- Processes Memorial Sloan - Kettering authorizations for members receiving services within the pain management clinic
- Assist managing dedicated mailbox and process data for State specific requests and ensure that they triaged to the designated team / staff
- Reviews and assigns clinical claims review cases to clinical staff of the CCR team using ISET and Webtrax
- Processes ‘Benefit Exception’ requests for all accounts / books of business
- Processes ‘Unable to Reach’ Letters for Mercer Health Advantage members
- Processes ‘Failure to Comply’ letters to assure timely communication with facilities who have failed to contact Care Advocates regarding clinical updates
- Handles administrative support for ‘Rhode Island Incentive Program’ including letter generation to eligible members, tracking of returned communication, database maintenance to assure accurate information is provided to Optum Bank
- This position requires AHCA Level II Background checks (fingerprinting) by the State of Florida for all Clinicians that have face-to-face contact with members and will require renewal every five years
- Ability to bend or crouch to reach low items
- 2+ experience in an office setting using the telephone and computer as the primary instruments to perform the job duties
- Flexibility to work outside standard hours of operations due to changing business needs (potential for mandatory overtime after hours and weekends)
- 1+ year of telephonic or face to face customer service experience
- Previous experience working with Microsoft Office Word, Excel and Outlook (must be able to create, edit, save and send documents utilizing Microsoft)
Clinical Administrative Coordinator Job Description
- Provides backup to the Teleform verification of Wellness Assessments and Outpatient Treatment Reports including researching issues that impact the ability to process ALERT Wellness Assessment and OTRs, eligibility, provider status, accuracy of provider information
- Data entry of census updates and discharged cases
- Data entry of client information into designated database / Electronic Health Record (EHR) System Processing and tracking inpatient and outpatient authorization requests within designated turnaround times Distribution of appropriate work products to clinical teams for clinical review
- Cross train in all clinical support processes E-filing of all incoming authorization requests File data and perform other routine clerical tasks as assigned and for other departments as needed
- Operate a variety of standard office machines, including a personal computer and a variety of computer software, DYMO label, phone, fax, calculator, and photocopy machine
- Write or revise current processes
- Manage the requests for NOA / NOE Letters
- Prepare letters for audit review
- Identify gaps in compliance with letters and ensure letter corrections are made within regulatory timeframes
- Act as SME for letters
- 1+ year of professional experience in an office/customer service environment
- Flexibility to work outside standard hours of operations due to changing business needs (A full-time schedule between business hours
- Ability to keep all information confidential per HIPPA requirements
- 2+ years of experience in a healthcare facility, medical office, hospital or managed care setting
- Must be able to navigate a Windows PC and the ability to use/ learn new applications easily
- Intermediate proficiency with MS Word with the ability to create/ edit documents, import files, format
Clinical Administrative Coordinator Job Description
- Tuesday - Saturday work schedule
- Inbound / Outbound call center
- Complete / Enter program referrals
- Engagement with members and providers
- Assist RN & SW with various assignments
- Manages incoming communication calls / faxes / emails / tasking group – members / providers
- Handle pre-authorization calls for upcoming surgeries, hospital admissions, imaging and therapy
- Monitor timely receipt, accuracy and compliance of State assessments
- Maintain 100% adherence to State contract, CMS requirements, and UnitedHealthcare Community Plan Performance and Quality metrics around Star+Plus Waiver Conversion Goals
- Demonstrate compliance in the urgency of all Star + Plus Waiver State & internal deadlines
- Ability to travel up to 5% of the time for training events
- Intermediate proficiency with MS Excel with the ability to create/ edit spreadsheets, create formulas, use sort/filter functions
- Intermediate proficiency with MS Outlook with the ability to send/ receive emails, use the calendar for scheduling, assign/maintain tasks
- Medical or Healthcare industry experience
- 1+ year of experience in clerical or administrative role
- Experience in providing patient counseling and instruction
Clinical Administrative Coordinator Job Description
- Assists with the facilitation around Medicare covered services and / or community based services
- Assist the Medical Management team with communicating transition of care services for members
- Generate and create referrals to health plan programs and outpatient services
- Access multiple hospital-based electronic systems for the purpose of ensuring accurate patient admission information, , diagnosis, patient demographics and census reconciliation
- Data entry of patient level of care and other case related information, at the direction of the clinical team
- Trained to provide back - up support to Clinical Administrative Coordinator Sr
- Mailing of customer packet (s)
- Assist in event set up, administration, and deconstruction
- Coordinate student scheduling for events
- Responsible for lab supply and ordering
- Must be able to work 8 hour shifts M - F between 9 AM - 7 PM
- Ability to work under pressure to meet tight deadlines and adapt to changing priorities
- Experience in planning, coordinating, and directing the work of subordinate staff
- Experienced with MS Word and the ability to create/edit documents send them in email format
- Excellent interpersonal, written and verbal communication skills (using grammatically correct written English and accurate typing) to interact with a variety of personalities at all levels of the organization, exercising tact, mature judgment, diplomacy, and flexibility to promote positive working relationships and job effectiveness
- Proven ability to act on initiative and exercise independent judgment in executing a wide variety of functions and maintaining absolute reliability in handling confidential and sensitive matters