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Clinical Assistant

$17 - $18 per hour

Global Channel Management

Clinical Assistant

Chattanooga, Tennessee, United States

$ 17.00 - 18.00 (US Dollar)

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

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

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Vacancy posted 16 hours ago
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