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Open nowFirst seen 4 days ago

Remote Clinical Assistant

global-channel-management-inc944 open roles

Where
Chattanooga, Tennessee, United States, Remote
Work mode
Remote
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Your applicationOpen nowRemote Clinical Assistantglobal-channel-management-inc · Chattanooga, Tennessee, United States, Remote

  1. YouYes, apply to this one.

  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

  4. CV RocketApplied on global-channel-management-inc's own form.

The reply lands in your private mailbox

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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.3%14 days
  5. 35.6%30 days
  6. 57.8%60 days
This job: first seen 4 days ago

The posting

Clinical Assistant needs 2 plus years of experience into customer service, medical terminology, and history with medical related jobs.

Clinical Assistant requires:

  • High School Diploma or equivalent Experience
  • COVID vaccinated maybe required
  • 1 year - Customer service experience is required Skills\Certifications
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Proficient oral and written communication skills o Proficient interpersonal and organizational skills o Exceptional time management skills
  • Ability to work independently under general supervision and collaboratively as part of a team in a fast paced environment
  • Independent, Sound decision-making and problem-solving skills
  • Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health.
  • Knowledge and understanding of Medical terminology
  • 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
  • Participation and attendance are mandatory.
  • Requires flexibility, due to rotations in schedules, and requires adherence to assigned schedules.

Clinical Assistant duties:

  • Screen incoming calls and/or faxes or other digital format 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.
  • Receive, investigate and resolve customer inquiries and claims.
  • Maintain departmental goals.
  • Perform projects, review and handle reports as assigned.
  • Load complete organization determination/notification for services designed by internal policy.
  • Clearly document and key data in to the appropriate system using departmental guidelines.
  • Interact with membership, hospital and provider staff, advising of decision, status organization determinations, giving direction as necessary.
  • Search for and key appropriate diagnosis and /or procedure code as part of the notification /prior authorization process.
  • Must be able to pass required testing.
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