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Clinical Coordinator

Job Summary:

This person serves as a support to the AR Specialists, Eligibility Specialist, and the Clinical and Leadership Teams.

Essential Duties and Responsibilities:

  • Coordinates all aspects of applicable program to include identification and execution of account actions to prepare account for clinical review.
  • Manages all client and payor correspondence to include tracking of all incoming or outgoing correspondence.
  • Creates client facing reports.
  • Monitors State Medicaid authorization system for approvals
  • Participates in program development to include process improvement.
  • Printing, scanning, faxing and copying documents
  • Creating and maintaining spreadsheets
  • Monitors queues for unassigned reviews daily
  • Assigns clinical nurse new reviews
  • Corresponds with eligibility team/hospital regarding reviews with partial Medicaid coverage
  • Receives additional reviews needing to be implemented
  • Client point of contact on review status
  • Notifies clinical for additional information and/or reconsideration requests
  • Notes placement into client system as required

Minimum Qualifications and Competencies:

  • Minimum of at least 2 years’ experience within the healthcare field
  • Knowledge of medical terminology
  • Intermediate to advanced working knowledge of Microsoft Excel, Outlook and Word
  • Excellent verbal and written communication skills
  • Preferred experience with Medicaid and additional payors.
  • Must be willing to work onsite

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