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Clinical Assistant Jobs

Company

Pacer Staffing LLC
Address United States
Employment type FULL_TIME
Salary
Category Staffing and Recruiting
Expires 2024-01-27
Posted at 9 months ago
Job Description
Job Title: Clinical Assistant


Location: Remote (TN, GA, AL, MS, AR, SC, NC, FL, VA, MO)


Duration: 4 Month


  • The candidate should belong to one of the state TN, GA, AL, MS, AR, SC, NC, FL, VA, MO Only then they will be allowed to opt for remote Option**


Qualifications


  • Education: High School Diploma or equivalent


Experience


  • 1 year - Customer service experience is required.


Skills\Certifications


  • Exceptional time management skills
  • Knowledge and understanding of medical terminology.
  • Proficient oral and written communication skills
  • Ability to work independently under general supervision and collaboratively as part of a team in a fast-paced environment.
  • Solid knowledge and understanding of provider reimbursement methodologies, ICD-9-CM, CPT, HCPCS and UB-92 coding, UHDDS coding guidelines, AHA Coding Clinic
  • Ability to talk and type simultaneously in a clear and concise manner while interacting with customers.
  • Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint)
  • Proficient interpersonal and organizational skills
  • If a current employee is with the company, must meet minimum performance expectations.
  • Independent, Sound decision-making and problem-solving skills
  • Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health.


Job Summary


  • Supports customer service activities and initiatives for several products or clients including but not limited to the Case Management and Utilization Management departments.


Job Responsibilities


  • Must be able to pass required testing.
  • Load complete organization determination/notification for services designed by internal policy. Clearly document and key data into the appropriate system using departmental guidelines.
  • Interact with membership, hospital, and provider staff, advising of UM decision, status organization determinations, giving direction as necessary.
  • Receiving, investigating, and resolving customer inquiries and claims. Maintain departmental goals. Perform projects, review and handle reports as assigned.
  • Participation and attendance are mandatory.
  • Work overtime as required.
  • Screen incoming calls and/or faxes or other digital format for UM and/or CM and direct calls/faxes/other digital requests to the appropriate area. Identify and refer cases appropriately to the Case Management and/or Transition of Care department.
  • This position requires flexibility, due to rotations in schedules, and requires adherence to assigned schedules.
  • Search for and key appropriate diagnosis and /or procedure code as part of the notification /prior authorization process.


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