Clinical Administrative Coordinator

Job Summary

Working remotely on a full-time basis, the Clinical Administrative Coordinator will manage service requests from members and providers, process referrals and prior authorizations, and assist clinical staff with documentation and case triage.

Key responsibilities

• Collaborate with hospitals, clinics, and the clinical team to manage service requests via phone, fax, and provider portal
• Process incoming and outgoing referrals and prior authorizations, including intake and notification roles
• Support clinical staff by setting up documents and triaging cases for Clinical Coverage Review

Required qualifications

• High School Diploma / GED or equivalent work experience
• At least 2 years of customer service experience
• Proficiency in Microsoft Word, Excel, and Outlook
• Basic knowledge of Medical Terminology
• Ability to work an 8-hour shift during normal business hours with occasional overtime and weekend rotation coverage