Clinical Support Coordinator 1

Title- Clinical Support Coordinator 1

Location- Remote

Duration- 9+ Months

Shift- 8:00am to 5:00pm

PR: $20 to $22/hr

Job Description

• Request medical records and/or response requests from providers fax, secure email, or remote electronic medical record system.
• Validate provider contact information and update department repository accurately.
• Follow up on medical records and/or response requests via phone or email and implement appropriate action.
• Manage incoming medical records/responses accurately and timely.
• Review medical records upon receipt for content prior to sending for clinical review.
• Follow up with provider if records are incomplete.
• Consult with CQR Lead/RN as needed on requests and request status.
• Prioritize tasks and assignments to meet turnaround time goals.
• Research provider and member information using internal applications (claims, PCP information, plan type).
• Be an active team member and promote a positive work environment.
• Provide input for continuous process improvement.
• Enter accurate data into department database to ensure accurate reporting.
• Work under limited to moderate supervision on routine tasks.
• Deliver on day-to-day objectives which impact the overall of department goals.
  

Required Skills

• Detail oriented with strong verbal and written communication skills.;'
• Strong organization and professional letter writing/formatting skills

Preferred Skills

• Health plan and/or medical office experience/basic knowledge of managed care principles (HMO, PPO, Medicare)
• Medical terminology knowledge
• Previous experience working with grievances/quality of care concerns

Education Requirements

• Education: High school diploma or GED.