Clinical Support Coordinator 1

Day to Day Responsibilities Request medical records and/or response requests from providers 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. Required Skills (top 3 non-negotiables) Detail oriented with strong verbal and written communication skills. Agile Strong organization and professional letter writing/formatting skills Preferred Skills (nice To Have) 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 Requirements High school diploma or GED. Software Skills Required Microsoft Office, includes maintaining Excel spreadsheets. Adobe Acrobat. Professional letter formatting. Right Fax. #J-18808-Ljbffr TALENT Software Services