Job Description

Clinical Assistant needs 1 years experience in a customer service support role is required

Clinical Assistant requires:

- Possible COVID-19 vaccine mandate.

- Customer service support role is required

- Certifications

- Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.

- Proficient interpersonal and organizational skills

- Independent, Sound decision-making and problem-solving skills

- Healthcare environment

- Provider reimbursement methodologies, ICD-9-CM, CPT, HCPCS and UB-92 coding, UHDDS coding guidelines, AHA Coding Clinic

- Must be able to work in an independent and creative manner.

- Self-motivated and able to manage multiple tasks and set priorities.

- Effective time management skills

- Excellent oral and written communication skills

- Strong interpersonal and organizational skills

- Knowledge in Medical terminology

- Various immunizations and/or associated medical tests may be required

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Clinical Assistant duties;

- Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.

- Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.

- Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.

- Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.

- Facilitate research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries

- Work overtime as needed
Employment Type: Full-Time
Salary: $ 20.00 Per Hour

Job Tags

Hourly pay, Full time,

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