Clinical Administrative Coordinator

1. About Our Client:

The organization operates in the healthcare sector, delivering care supported by technology to help individuals achieve better health outcomes. It focuses on connecting people with care services, pharmacy benefits, data, and resources to improve their well-being. The organization emphasizes inclusion, offers comprehensive benefits, and provides career development opportunities, aiming to impact communities globally through health optimization.

2. About the Opportunity:

The Clinical Administrative Coordinator plays a vital role as the main contact point for healthcare providers and members receiving post-acute services. This position provides non-clinical administrative support to the remote clinical services team, helping anticipate and plan for care continuity and discharge needs. The role ensures accurate communication and documentation within the care process, contributing to effective coordination between providers and clients.

3. Responsibilities:

• Process inbound and outbound electronic communications according to quality and productivity standards.

• Enter, review, and verify member information in care documentation systems.

• Complete administrative documentation for member records, including disenrollment, transitioning, and authorization updates.

• Assist in coordinating member care between health providers and the health plan.

• Communicate with providers, clients, and care staff as appropriate.

• Triage inbound calls and emails, managing inquiries and escalating when necessary.

• Monitor and review reports related to departmental processes.

• Serve as a preceptor and mentor to new team members.

• Provide peer support for operational and procedural questions.

• Participate in team queue reviews and assist with resource allocation.

• Create and maintain training materials.

• Conduct quality audits and perform ad hoc corrections as assigned.

• Participate in peer coaching and team engagement activities.

• Suggest agenda topics for team meetings.

• Cover specialized tasks as assigned.

• Assist with ticketing systems, time studies, follow-up, and escalation processes.

• Attend team meetings as requested.

• Adhere to organizational, departmental, compliance, and regulatory policies.

• Promote a positive work environment.

• Perform other duties as assigned.

4. Requirements:

• High School Diploma, GED, or equivalent work experience.

• Minimum 18 years of age.

• At least 1 year of experience in office, administrative support, or clerical roles within healthcare.

• Ability to communicate using email, Microsoft Teams, fax, and messaging systems.

• Availability to work a 10-hour shift Saturday to Tuesday, 7:00 am to 5:30 pm CST, with occasional overtime or weekends as needed.

Preferred:

• Familiarity with medical terminology and HIPAA regulations.

• Experience in healthcare settings.

• Ability to work in a high-volume production environment.

• Proven ability to meet performance goals.

• Strong written and verbal communication skills.

• Critical thinking skills.

• Proficiency with Microsoft Word, Excel, Outlook, and Teams.

• Detail-oriented with the ability to accurately interpret data.

5. Pay Range and Compensation Package:

• The pay range and compensation package for this role will be determined based on the candidate’s experience, skills, and other relevant factors.

Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.