Clinical Support Coordinator 1

TALENT Software Services; California (MO); On-site; USD 40,000 - 55,000; Full time

Job summary

TALENT Software Services is seeking a detail-oriented administrator to handle day-to-day tasks related to medical records requests and data management. You will coordinate with providers, ensure accurate record-keeping, and support timely responses for clinical reviews.

The role requires strong communication skills, proficiency with Microsoft Office, and familiarity with health plan concepts. A high school diploma or GED is required, with preference for prior medical office experience.

Qualifications

• Detail oriented with strong written and verbal communication skills.
• Solid organizational skills and ability to draft professional letters.
• Experience using standard office software and basic health plan terminology is a plus.

Responsibilities

• Request medical records and response requests from providers via fax, secure email, or remote EMR systems.
• Validate provider contact information and update the department repository.
• Follow up on requests via phone or email and take appropriate action.
• Manage incoming medical records and responses accurately and timely.
• Review records on receipt before clinical review.
• Follow up with providers if records are incomplete.

Skills

Detail oriented

Agile

Letter formatting

Education

High school diploma or GED

Tools

Microsoft Office

Adobe Acrobat

Right Fax

Job description

Day to Day Responsibilities

• Request medical records and/or response requests from providers fax, secure email, or remote electronic medical record system.
• Validate provider contact information and update department repository accurately.
• Follow up on medical records and/or response requests via phone or email and implement appropriate action.
• Manage incoming medical records/responses accurately and timely.
• Review medical records upon receipt for content prior to sending for clinical review.
• Follow up with provider if records are incomplete.
• Consult with CQR Lead/RN as needed on requests and request status.
• Prioritize tasks and assignments to meet turnaround time goals.
• Research provider and member information using internal applications (claims, PCP information, plan type).
• Be an active team member and promote a positive work environment.
• Provide input for continuous process improvement.
• Enter accurate data into department database to ensure accurate reporting.
• Work under limited to moderate supervision on routine tasks.
• Deliver on day-to-day objectives which impact the overall of department goals.

Required Skills (top 3 non-negotiables)

• Detail oriented with strong verbal and written communication skills.
• Agile
• Strong organization and professional letter writing/formatting skills

Preferred Skills (nice To Have)

• Health plan and/or medical office experience/basic knowledge of managed care principles (HMO, PPO, Medicare)
• Medical terminology knowledge
• Previous experience working with grievances/quality of care concerns

Education Requirements

• High school diploma or GED.

Software Skills Required

• Microsoft Office, includes maintaining Excel spreadsheets.
• Adobe Acrobat.
• Professional letter formatting.
• Right Fax.