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 document setup and case triage.

Key responsibilities:

• Manage requests for services from members and providers via phone, fax, and provider portal
• Process incoming and outgoing referrals and prior authorizations, including intake and notification roles
• Assist clinical staff with setting up documents and triaging cases for Clinical Coverage Review

Required qualifications:

• High School Diploma / GED or equivalent work experience
• Must be 18 years of age or older
• 2+ years of customer service experience
• Experience with Microsoft Word, Excel, and Outlook
• Basic knowledge of Medical Terminology