Clinical Administrative Assistant (Remote - Wisconsin)

Midwest Startups; Wisconsin; Remote; USD 40,000 - 70,000; Full time

Job summary

An innovative startup is looking for a compassionate Clinical Administrative Assistant to join their dedicated team. In this vital role, you will provide essential support to health plan members, assisting them in navigating their healthcare options and ensuring they receive the care they need. Your experience in an ambulatory clinical setting will be invaluable as you collaborate with providers and clinical staff to facilitate continuity of care. This position offers a competitive salary, benefits, and the opportunity for professional growth in a collaborative environment focused on transforming healthcare. If you're passionate about making a positive impact, this is the role for you!

Benefits

Competitive salary

Membership to a Direct Primary Care practice

Healthcare stipend

Dental & FSA benefit options

Professional growth opportunities

Collaborative work environment

Qualifications

• Minimum 2 years in an ambulatory clinical setting as LPN or MA.
• Experience with Prior Authorization and Prescription Assistance Programs.

Responsibilities

• Respond to health plan questions and coordinate referrals.
• Maintain patient records and adhere to HIPAA regulations.

Skills

Organizational Skills

Communication Skills

Problem-Solving Skills

Attention to Detail

Multitasking

Education

Licensed Practical Nurse (LPN)

Medical Assistant (MA)

Tools

Digital Tools and Applications

Office Software

Job description

Position Overview:

We are seeking a detail-oriented and compassionate Clinical Administrative Assistant to join our team. This role is responsible for supporting health plan members by providing administrative and clinical assistance in navigating their healthcare options, including answering general health plan design questions, coordinating referrals, and assisting with prescription sourcing. The ideal candidate will have experience in an ambulatory clinical environment and be comfortable collaborating with providers and clinical staff to ensure continuity of care.

Key Responsibilities:

• Respond to general health plan questions for members, providing clear and accurate information.
• Fax referrals and medical records to healthcare providers on behalf of health plan members to facilitate continuity of care.
• Assist member with identifying more cost-effective options for their prescription drugs.
• Assist members with applying for Prescription Assistance Programs (PAPs) to ensure access to necessary medications when not covered by the PBM.
• Collaborate with direct primary care providers and clinical staff to ensure continuity of care when members are referred to preferred providers and services.
• Maintain accurate and organized records of patient interactions, referrals, and applications.
• Adhere to HIPAA regulations and confidentiality policies while handling patient information.

Qualifications:

• Licensed Practical Nurse (LPN) or Medical Assistant (MA) with a minimum of 2 years of experience in an ambulatory clinical setting.
• Prior experience in Prior Authorization and Prescription Assistance Program (PAP) applications is required.
• Strong understanding of health plan structures and the ability to explain benefits to members.
• Excellent organizational and communication skills, with the ability to multitask in a fast-paced environment.
• Proficiency in using a multitude of digital tools, applications, and office software.
• Strong attention to detail and problem-solving abilities.
• Ability to collaborate effectively with interdisciplinary teams, including clinical and administrative staff.
• Self-disciplined and able to effectively manage one's time.

Benefits:

• Competitive salary
• Membership to a Direct Primary Care practice of your choice
• Healthcare stipend
• Dental & FSA benefit options
• Opportunity for professional growth and advancement within a rapidly growing startup.
• A collaborative and supportive work environment with a focus on innovation and creativity.

Join us in our mission to transform healthcare and make a positive impact on the lives of businesses and individuals in the Midwest. If you're passionate about healthcare and driving meaningful change, we want to hear from you! Apply now to join our dynamic team.

Self Fund Health is an equal opportunity employer.