Clin Admin Coord

Clinical Admin Coodinator

Job Description

• Manage the administrative intake process for members

• Handle incoming and outgoing phone calls in a professional and timely manner

• Collaborate with hospitals, clinics, facilities, and clinical teams to coordinate service requests for members and providers

• Process incoming and outgoing referrals and prior authorizations, including intake, notification, and census functions

• Assist clinical staff by preparing documentation and triage cases for Clinical Coverage Review

• Navigate and accurately document information across multiple clinical applications and SharePoint sites

• Enter and maintain accurate data in the electronic health record in accordance with company policies and procedures

• Monitor outstanding referral reports and conduct timely follow-ups to ensure compliance with company standards

• Respond to and resolve inquiries from members and providers

• Perform other duties as assigned