Clinical Assistant

Global Channel Management, Inc; Chattanooga (TN); On-site; USD 30,000 - 45,000; Full time

Job summary

A healthcare management firm is looking for a Clinical Assistant in Chattanooga, TN. Candidates should have at least a year of experience in customer service and possess strong interpersonal, organizational, and problem-solving skills. Proficiency in medical terminology and coding is essential. The role involves supporting the clinical team, conducting educational calls, and managing member inquiries.

Qualifications

• 1 year experience in a customer service support role is required.
• Ability to work independently or in a team environment sharing responsibility.
• Proficient in ICD-9-CM, CPT, HCPCS, and UB-92 coding.

Responsibilities

• Support area clinical team as a resource for disease prevention education.
• Conduct educational calls advising members on benefits and programs.
• Manage system work queues and screen identified members for eligibility.

Skills

Customer service support

Interpersonal skills

Organizational skills

Problem-solving skills

Knowledge in Medical terminology

Education

Certifications

Job description

Clinical Assistant needs 1 years experience in a customer service support role is required

Clinical Assistant requires:

• Customer service support role is required
• Certifications
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient interpersonal and organizational skills
• Independent, Sound decision-making and problem-solving skills
• Healthcare environment
• Provider reimbursement methodologies, ICD-9-CM, CPT, HCPCS and UB-92 coding, UHDDS coding guidelines, AHA Coding Clinic
• Must be able to work in an independent and creative manner.
• Self-motivated and able to manage multiple tasks and set priorities.
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Knowledge in Medical terminology
• Various immunizations and/or associated medical tests may be required
• Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.
• Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate.
• Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling.
• Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention.
• Facilitate research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries