Remote Clinical Assistant at Global Channel Management, Inc

This a Full Remote job, the offer is available from: United States, Tennessee (USA)
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 SkillsCertifications
? 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.
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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.
This offer from 'Global Channel Management, Inc.' has been enriched by Jobgether.com and got a 75% flex score.