Clinical Administrative Coordinator

Job Summary

Working remotely in a full-time capacity, the Clinical Administrative Coordinator will assist clinical staff with document setup and triage cases for Clinical Coverage Review while managing member claims efficiently and meeting productivity and quality standards.

Key responsibilities

• Review and research documents to assist clinical staff with Clinical Coverage Review
• Manage member claims while meeting established productivity and quality standards
• Collaborate with the team to solve complex problems and prioritize tasks effectively

Required qualifications

• High School Diploma / GED or equivalent work experience
• 2+ years of experience in a healthcare setting or industry
• Familiarity with medical terminology
• Experience with medical claims processing or research
• Proficiency in Microsoft Word, Excel, and Outlook