Position Summary
The Senior Clinical Coordinator provides support for team members and Team Leads. The Senior Clinical Coordinator will work directly with the Team Leads to ensure support and efficiency for all teams in the Case Processing department.
Essential Duties and Responsibilities
The essential functions include, but are not limited to the following:Review cases to ensure benefits checks, orders, and notes are correct. Answer questions and train team membersPerform initial case review of all open cases on teamReview and approve all orders and upgrades for the teamCover for other Team Leads and team members in their absences. This includes benefits checks, reviewing notes, creating documents, provider follow ups and creating authorizationsStart and follow up on the insurance authorization processFile appeals for authorizations that have been deniedCreate medical documentsReview medical records to determine information needed to process the order Train new team membersUpdate patient files with relevant informationCommunicate with insurance companies by fax, email and telephoneEffective communication with patients, sales team and corporate staff regarding the status of the patient's orderWilling to support all members of the team as well as team leadComply with all HIPAA and privacy regulationsAdhere to laws and best practices in regards to dealing with patients and patient dataPerform other job-related duties as assignedMinimum Qualifications (Knowledge, Skills, and Abilities) Prior BioTAB Case Processing experience, minimum of six months requiredHigh School Diploma or GED, required MS Office experience, minimum of six months requiredData entry skills, minimum of six months requiredBasic medical terminology, minimum of six months requiredExcellent telephone skills, minimum of six months requiredVerbal and written communication skills, requiredAble to work in a team environment, requiredMedical documentation review, minimum of six months required Attention to detail, required Critical thinking skills, requiredExperience working in a healthcare setting, preferred
Physical Demands and Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.Must be able to work onsite at our corporate headquarters in Maryland Heights, MOMust be able to work in an office setting, use a computer, keyboard and mouse for the majority of the shift and be able to communicate on the telephoneMust be able to work the scheduled 8 hour shift Monday-Friday
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