[Remote] Clinical Support Coordinator

Note: The job is a remote job and is open to candidates in USA. Mass General Brigham Health Plan is a leading organization in the healthcare industry focused on providing innovative solutions for its members. The Clinical Support Coordinator role involves offering administrative support to Care Managers and processing authorizations and referrals, ensuring compliance with established policies and performance standards.

Responsibilities

• Provide support to UM Care Managers to ensure provider and member customer satisfaction
• Respond in a timely and accurate manner to internal and external customer inquiries regarding Mass General Brigham Health Plan and Clinical administrative policies and procedures
• Strong knowledge and understanding of processing requests per Medicare, Medicaid, and commercial lines of business
• Process outpatient and inpatient authorizations/referrals using appropriate criteria for approval
• Achieve and maintain compliance with telephone accessibility and authorization/referral performance standards
• Process online and faxed authorization requests using desktop procedures
• Upload clinical information to the appropriate authorization in Mass General Brigham Health Plan's online provider portal
• Enter and/or update clinical information as directed by Care Managers
• Lead and/or collaborate with other Mass General Brigham Health Plan departments in efforts to achieve success in member care/case management
• Provide support for various care management and member outreach initiatives
• Provide alternate coverage during staff absences and position vacancies, as directed
• Other duties as assigned with or without accommodation

Skills

• High School Diploma or equivalent required
• At least 2-3 years of administrative assistant or secretarial experience required
• Proficiency in MS Office
• Ability to proofread and edit written documents
• Ability to use the phone system
• Managing one's own time and the time of others
• Strong verbal & written communication skills
• Strong interpersonal, written, and oral skills
• Ability to use standard office equipment
• Familiarity with medical terminology

Benefits

• Competitive salaries
• A benefits package with flexible work options
• Career growth opportunities
• Comprehensive benefits
• Career advancement opportunities
• Differentials
• Premiums
• Bonuses as applicable
• Recognition programs designed to celebrate your contributions and support your professional growth

Company Overview

Company H1B Sponsorship