Clerical Support Coordinator

Clerical Support Coordinator Fully Remote • Allied Benefit Systems - CHICAGO, IL 60606 Apply Overview Salary Range $23.00 - $24.00 Hourly Position Type Full Time Category Operations Apply Description POSITION SUMMARY The Clerical Coordinator supports the contact center by combining administrative accuracy with strong customer service. This role manages high-volume inquiries, maintains detailed records, processes requests, and ensures smooth workflow across departments. Acting as a liaison between frontline staff and internal teams, the coordinator ensures timely resolution of issues, accurate documentation, and efficient back-office operations that enhance overall service quality. The Clerical Support Coordinator plays an essential role in the Contact Center, enhancing efficiency through a variety of departmental support functions. These include facilitating effective communication, delivering excellent customer service, accurate data entry, and meticulous record management to ensure the preparation, privacy, and maintenance of all records. Additionally, the Clerical Support Coordinator oversees verbal and written referrals related to website support and innovative technology, conducts reviews for claims, eligibility, and benefits, and coordinates document fulfillment for customers. Through these diverse responsibilities, the coordinator contributes significantly to the overall success of the Contact Center. ESSENTIAL FUNCTIONS · Manage high volumes of inbound and outbound member and provider calls, CRM-routed requests, emails, and digital submissions; validate account and eligibility details; and document all interactions and actions taken in accordance with internal quality standards. · Enter, update, and verify member, provider, and employer-group information across CRM and benefits administration systems; maintain accurate call logs and documentation. · Confirm eligibility, coverage levels, plan rules, and benefit limitations for members and providers; interpret plan documents to determine what services are covered. · Review claim adjudication outcomes, explain payment decisions, request claim adjustments, and validate supporting documentation such as EOBs, timely filing, and coordination of benefits. · Resolve member and provider questions related to benefits, claims, authorizations, billing, and network participation. · Troubleshoot issues using internal knowledge bases and system tools. · Serve as a liaison between the contact center and claims, eligibility, provider relations, and medical management teams to resolve escalated issues and ensure timely follow-through. · Maintain detailed records of all interactions, ensure HIPAA compliance, and follow established workflows and regulatory guidelines. · Assist members and providers with navigating the online portal, mobile app, coverage verification tools, and digital resources. · Conduct provider and network searches, assist with PPO and reference-based pricing networks, and guide callers in locating in-network facilities or verifying provider eligibility. · Analyze incoming requests, prep forms for scanning and routing route items to the appropriate operational teams. Fulfill faxes as needed. · Prepare routine reports, track service issues, document trends, and support operational audits or quality reviews. · Complete all assigned tasks by end of day, meet productivity and quality metrics, and support the overall efficiency of the contact center. · Identify process gaps, recommend improvements, and act as a subject matter expert to support team development and operational excellence. · Other duties as assigned. EDUCATION · High School Diploma or equivalent work experience required. EXPERIENCE AND SKILLS · 2+ years in a call center within a TPA, health insurer, or employee benefits environment; experience in high-volume, multi-channel operations preferred. · Familiarity with group health plans, eligibility, benefits, and claims processes. · Proficient in Microsoft Office (Word, Excel, Outlook) with the ability to quickly learn new systems, CRM tools, and workflows. · Skilled in entering and updating member/provider data, verifying information, and maintaining precise documentation. · Able to multitask, prioritize, and manage workload efficiently. · Identifies issues, evaluates information, and applies appropriate solutions. · Comfortable with changing processes, systems, and plan requirements. · Works effectively with peers and cross-functional teams. POSITION COMPETENCIES · Accountability · Communication · Customer Service Orientation · Functional/Technical Skills · Quality Focus · Time and Task Management PHYSICAL DEMANDS · This is a standard desk role requiring extended sitting and computer work WORK ENVIRONMENT · Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive . The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.