Clinical Representative Job Description
Clinical Representative Duties & Responsibilities
To write an effective clinical representative job description, begin by listing detailed duties, responsibilities and expectations. We have included clinical representative job description templates that you can modify and use.
Sample responsibilities for this position include:
Clinical Representative Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Clinical Representative
List any licenses or certifications required by the position: HIPAA, EMR, MA, UM
Education for Clinical Representative
Typically a job would require a certain level of education.
Employers hiring for the clinical representative job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Nursing, Science, Business, Technical, Math, Education, Medical, Engineering, Biology, Kinesiology
Skills for Clinical Representative
Desired skills for clinical representative include:
Desired experience for clinical representative includes:
Clinical Representative Examples
Clinical Representative Job Description
- Perform additional responsibilities as assigned by the management
- Follow all applicable CSHP SOPs and guidelines all regulatory standards that apply
- Maintain a professional attitude and observe the dress code while in the workplace
- Share in the maintenance of office machines and send faxes, make copies, and route incoming materials
- Registers/re-registers patients
- Obtain pre-certifications, authorizations, and referrals to ensure managed care compliance for necessary appointments
- Fulfill notification requirements for inpatient admits
- Enter the information gathered into the computer system
- Perform any other function deemed necessary to perform financial or clinical clearance
- Apply critical thinking skills to identify and resolve problems proactively to maximize reimbursement
- Above average reading, verbal, and written communications skills
- Nursing background or appropriate relevant background required
- Excellent written and oral communication skills in both large and small group settings
- Bachelors Degree or similar level of education
- Experience working with Distributors and OEM sales personnel
- Hebrew as mother tongue and Good English
Clinical Representative Job Description
- Coordinate home care services for patients who are returning to the community from a facility including meeting with the patient to discuss home care services, evaluate and assess each patient for care to be provided, make recommendations based on clinical findings and obtain necessary physician orders and documentation to perform care
- Collaborate with agency operations staff and intake personnel to ensure all required documentation is obtained
- Work in conjunction with the sales team to provide support and education regarding home care services to healthcare providers
- Assist sales and marketing teams in developing and executing business strategies to improve service to patients and referral sources
- Regularly communicate progress of the patient/discharge with the referral source to ensure customer satisfaction
- Differentiates between clinical vs
- Identifies payer, UM agent and hospital’s managed care contract governing clinical denial
- Reviews managed care contracts against application of rates, provisions and terms
- Reviews applicable timeframes governing the appeal process
- Contacts appropriate third party for outcome of clinical appeal
- Bachelor’s degree (Medical degree is a plus)
- Highly motivated individual who has the potential to become a leader in the next 1-2 years and capable of managing a team under him/her in that country
- Ability to understand and execute business strategy flawlessly especially in developing business for value segment market and reimbursement market (Have network with BPJS is a plus)
- Experience in PPP (Public Private Partnership) is a plus and have network with top management hospital (key decision making), Hospital Director/BOD, Head of Procurement, Head of OT, etc
- Experience in distributor management & product management
- Able to quickly prioritize jobs under pressure and anticipate the changing needs of customers
Clinical Representative Job Description
- Investigates overturned discrepancy dollars
- Manages assigned workload of accounts through timely follow up and astute record keeping
- Interpretation of clinical score cards for multiple VBAs
- Aggregation of clinical data into dashboards and other vehicles for distribution to practices and physician groups
- Generation of educational materials which support our clinicians and their teams on understanding clinical quality measures (tip sheets, tool kits, presentations, etc)
- Implementation of quality improvement programs in close partnership with local leadership and other ACN stakeholders
- Understanding of coding and billing workflows to improve performance on VBA quality measures, and importance of accurate HCC recapture and RAF scoring
- Assistance in the QA process for ACN’s analytics and BI team
- Assistance in the GPRO education and submission process
- Leading of practice meetings (if requested) to review performance and implement quality improvement initiatives
- Must be located anywhere in the Midwest near a major airport
- Degree or Diploma in Life Science/Science and Nursing Certificate
- A current nursing licensure in the state of New Jersey (RN or LPN)
- Benefits/fund administration experience
- Ability to quickly learn and grasp technical concepts
- Ability to transfer enthusiasm via consultative interaction with customers, prospective customers, and fellow employees
Clinical Representative Job Description
- Close collaboration with ACN Embedded Care Team staff to assist them in direct patient assistance and consultation
- Answers patient calls and refers them to nursing and faculty
- Counsels patients with regard to more complex inquiries, payment arrangements, third party payer practices and other issues
- Answers routine and complex inquiries in regard to status of patient billing, insurance payments, and other issues
- Processes referrals and obtains pre-authorizations from insurance companies for patient testing
- Monitors accuracy of records and assists in auditing of same
- Maintains computer data bases entering changes in demographics, insurance and other information
- Schedule flexibility including rotations through Nights, Saturdays and minimal Holiday Coverage
- Develop in depth technical knowledge of Imaging, Navigation, Robotics products applicable procedures, anatomy, and implant products
- Provide educational support for new surgeons, OR staff and administrators during INR system installations and ongoing customer needs
- Biology or laboratory experience
- Manages the flow of gurneys between departments
- Replaces sharps containers in OR/PACU/Pre-op when they are ¾ full
- Maintains adequate linen supply and assists with restocking as needed
- Stores equipment safely and in proper storage area
- Working with the Materials Lead, responsible for ensuring necessary supplies are on hand for each service
Clinical Representative Job Description
- Support the installation process ensuring consistent utilization within the initial 90 days
- Assist with the development of key opinion leader surgeons
- Provide comprehensive hands on training to potential and existing customers through cadaver and bio-skill labs
- Owner and keeper of the robotic space within the cadaver lab
- The integrity of the prior authorization system use for Medicare Part D Coverage Determinations and Appeals
- Working closely with Medical Affairs, Specialty, PA Admin and other internal teams to ensure that utilization management criteria, decision trees and drug lists are loaded and functioning properly
- Configuring utilization management requirements into the PA system
- Clinical support through customer visits, product demonstrations, educational programs, product in-services, procedural observation, and problem resolution
- Work closely with Territory Managers and Region Sales Managers on directed activity that contributes to execution of Divisional Priorities
- Active in Key Conversions and IDN Support
- Strong knowledge and understanding of coverage and reimbursement issues
- Knowledge of Soarian, Allscripts, Invision, & GECB, preferred
- Knowledge of soarian, allscripts, & GECB systems, preferred
- Minimum 3 years’ experience in the direct use or design of medical devices (e.g., cath lab, interventional radiology, EP lab, product development)
- Prefer a proven track record with technical training assignments
- Experience in the management of clinical trials desirable