Adecco Healthcare & Life Sciences is looking for a Clinical Administrative Coordinator for our client! This role is telecommute/remote however candidates must reside in Texas.
Type: 3- month contract, with potential for extension
Schedule: 4 10-hour days - including weekends/holidays
Location: Remote / work-from-home
Pay: $21-22.35/hour
Responsibilities of the Clinical Administrative Coordinator:
· Provides data entry, filing, tracking time frames and status of case files and mailing letters to patients and providers
· Reviews denials and determines whether the decisions are retro/claims DOS or prospective DOS, and whether they are NCB or medically necessary
· Monitors system approval queues and prints member letters, ensuring that all approvals are printed and mailed by end of business day
· Prepares envelopes and letters for mailing according to the UM policy
· Receives appeal requests from health plans and/ or QIO, logs request, researches and provides requested information
· Works with claims department to redirect claims related appeal requests
· Generates reports for analysis by department using the data entry system
· Assists with CMS organization determination reports as needed
· Must be able to work a flexible schedule that may include evening hours and holidays.
Qualifications for the Clinical Administrative Coordinator:
High school diploma or GED equivalent
Telephonic and/or telecommute experience
Familiarity with ICD-9 coding
Ability to demonstrate excellent customer service with patients, providers, and health plan and interacting with other internal departments within the organization
Sound knowledge of medical terminology
Proficient software computer skills
Why work for Adecco?
Excellent Weekly Pay discussed during screening
401(k) Plan
Skills Training
Excellent medical, dental, and vision benefits
Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
IMPORTANT: This position is being recruited for by Adecco’s Healthcare and Life Sciences division, not your local Adecco Branch Office.
For opportunities available at Adecco Healthcare and Life Sciences go to https://www.adecco.com/en-us/employers/industries/healthcare-life-sciences
Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/.
The Company will consider qualified applicants with arrest and conviction record
Pay Details: $21.00 to $22.35 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
- The California Fair Chance Act
- Los Angeles City Fair Chance Ordinance
- Los Angeles County Fair Chance Ordinance for Employers
- San Francisco Fair Chance Ordinance