Inbound Clinical Coordinator

Job Summary

Managing administrative intake for members, the full-time Inbound Clinical Coordinator will work remotely to handle service requests, process referrals, and assist clinical staff with case triage while maintaining flexibility in scheduling during standard business hours.

Key responsibilities

• Manage administrative intake of members and coordinate requests for services with hospitals and clinics
• Process incoming and outgoing referrals and prior authorizations, including intake and notification roles
• Assist clinical staff with document setup and triage cases for Clinical Coverage Review

Required qualifications

• High School Diploma / GED
• 1+ years of experience in a high-volume call center environment handling 40+ calls
• 1+ years of experience in health insurance or medical billing
• Familiarity with key performance indicators and computer systems
• Ability to work any of the 8-hour shift schedules during normal business hours