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: $ 18.00 Per Hour

Job Tags

Hourly pay, Full time,

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