Clinical Support Coordinator 1

Summary: The Clinical Support Coordinator 1 is responsible for managing medical records requests, ensuring accurate data entry, and maintaining effective communication with providers. The role requires attention to detail and the ability to prioritize tasks to meet departmental goals. The coordinator will work under limited supervision and contribute to process improvements within the team. This position is fully remote, allowing for flexibility in work arrangements.

Key Responsibilities:

• Request medical records and/or response requests from providers via fax, secure email, or remote electronic medical record system.
• Validate provider contact information and update department repository accurately.
• Follow up on medical records and/or response requests via phone or email and implement appropriate action.
• Manage incoming medical records/responses accurately and timely.
• Review medical records upon receipt for content prior to sending for clinical review.
• Follow up with provider if records are incomplete.
• Consult with CQR Lead/RN as needed on requests and request status.
• Prioritize tasks and assignments to meet turnaround time goals.
• Research provider and member information using internal applications (claims, PCP information, plan type).
• Be an active team member and promote a positive work environment.
• Provide input for continuous process improvement.
• Enter accurate data into department database to ensure accurate reporting.
• Work under limited to moderate supervision on routine tasks.
• Deliver on day-to-day objectives which impact the overall of department goals.

Key Skills:

• Detail oriented with strong verbal and written communication skills.
• Agile.
• Strong organization and professional letter writing/formatting skills.
• Health plan and/or medical office experience/basic knowledge of managed care principles (HMO, PPO, Medicare).
• Medical terminology knowledge.
• Previous experience working with grievances/quality of care concerns.
• Education: High school diploma or GED.
• Microsoft Office, includes maintaining Excel spreadsheets.
• Adobe Acrobat.
• Professional letter formatting.
• Right Fax.

Salary (Rate): £15.00 hourly

City: undetermined

Country: undetermined

Working Arrangements: remote

IR35 Status: undetermined

Seniority Level: undetermined

Industry: Other