Clinical Support Coordinator (Customer Service)

Overview:

Our client, a provider of Health, Dental, Vision, Medicaid and Medicare Healthcare service plans in the state of California with 4.7 million members and $22.9 billion of annual revenues, seeks an accomplished Clinical Support Coordinator/Healthcare Customer Service.

*** Candidate must be authorized to work in USA without requiring sponsorship ***

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*** Location: Remote Hybrid (Long Beach, CA 90807)

*** Duration: 6+ months

IMPORTANT:

Work Setup: Mostly remote but the client is looking for a candidate who can be in the office for meeting purposes (1-2 times a month).

Day to Day Responsibilities:

• Process faxed-in authorizations, UM/CM requests, clinical documentation and/or calls left on voicemail.

• Data entry including authorization forms, high-risk member information, and verbal HIPPA authorization information for case creation.

• Research member eligibility/benefits and provider networks.

• Perform telephonic member screenings to determine specific needs and services covered by the health plan; communicate and coordinate with PCPs, specialists, and other providers on behalf of members for specific BHT services including appointment scheduling.

• Make outbound calls to providers for appointment availability and follow-up on additional clinical documentation requested.

• Assign initial EOA days, or triage to the clinician, based on established workflow.

• Document member-specific care coordination and follow-up actions promptly according to regulatory standards in the appropriate information systems independently and in coordination with case managers and other team members.

• Support to Experienced/Advanced/Specialist CSC

Required Skills (top 3 non-negotiables):

• Ability to enter data into the computer and extract information from databases including MS Outlook, Word, Excel, and overall comfortability with electronic records systems.

• Excellent verbal and written communication skills with individuals internal and external to BSC including physicians, members, patients, and service providers.

• Ability to identify problems and work towards problem resolution independently, seeking guidance as needed.

Software Skills Required: Proficient in Office Suite.

Preferred Skills (nice to have)

• Customer service/call center experience 1-2+ years, 1 year of healthcare preferable

• Knowledge of managed health care

• Bilingual (Spanish)

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I'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.

Sam Banga

Lead Recruiter

Company Overview:

Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally: as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.

Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.

Job Types: Full-time, Contract

Salary: $17.00 - $18.00 per hour

Expected hours: 40 per week

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Customer Service: 1 year (Preferred)
• Clinical Support: 1 year (Required)
• Call center: 1 year (Required)
• Healthcare: 1 year (Required)

Language:

• Spanish (Required)

Work Location: Remote