What are the responsibilities and job description for the Clinical Administrative Coordinator position at Insight Global Healthcare?
Job Description
Job Description
Job Summary
Provide administrative support to the Service Coordinator in delivering member services, including non-waiver and waiver services. Assist with member contact, education, and coordination of community resources to promote optimal health.
Essential Duties and Responsibilities
- Answer incoming faxes, emails, and phone requests.
- Initiate daily member phone calls, identify issues, and refer to the Service Coordinator or other departments.
- Schedule, cancel, and document appointments for face-to-face and telephonic requests.
- Receive and document initial faxes, emails, or phone requests, and refer to appropriate personnel as needed.
- Screen and evaluate calls, referring as necessary.
- Gather data for statistics and maintain logs.
- Manage intake of MNLOC and ISP requests.
- Monitor portal for timely completion of assessments and reassessments.
- Communicate progress of MNLOC reviews.
- Monitor portal for approval or denial decisions on MNLOC / ISPs and document outcomes.
- Update due dates for ISP and MNLOC in the service coordination system.
- Complete eligibility and benefit data before routing to the Service Coordinator or Transition Specialist.
- Provide communication and education regarding case management and transition services.
- Educate members about managed care, benefits, and community resources.
Knowledge and Skills
Required Qualifications
Preferred Qualifications
