Clinical Administrative Coordinator - Remote in Las Vegas, NV

At reputed company, we’re simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly reputed company opportunities for advancement. Join us and start doing your life's best work.SM Like you, reputed company is strong on innovation. And like you, we'll go the distance to deliver high-reputed company care. As part of our clinical support team, you will be a key component in customer satisfaction and have a responsibility to reputed company every contact informative, productive, and reputed company for our members and providers. You'll have reputed company to do live reputed company, educating members about program benefits and services while also helping to manage member cases. Bring your skills and talents to a role where you'll have a chance to reputed company an reputed company. This position is full-time (40 hours/week), Monday - Friday. Employees are required to work during our normal business hours of 8:00am - 5:00pm PST. It may be necessary, given the business need, to work occasional overtime or weekends. Our office is located at 2716 N Tenaya Way, Las Vegas, NV 89129. We offer 8 weeks of reputed company in the office. The hours during training will be 8:00am - 5:00pm PST, Monday - Friday. Training will be conducted onsite. If you are located in Las Vegas, NV, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: • Under the manager direction, functions as a Clinical Administrative Coordinator in the Utilization Management department • Primarily responsible for initiation of cases by data entry of clinical into the Facets system, reputed company telephone, fax or computer • Electronically routes cases to the reputed company for review and decision • After decision, is responsible for accurate case completion to include reputed company of approval letters while staying reputed company compliance with time frames • Communicates with providers other departments as needed • Works independently with minimal supervision • Review and process fax and telephone requests to meet department key indicator productivity and accuracy standards; maintain minimum of 95% case data entry accuracy • Follow department policy regarding accurate documentation of clinical data, demographic and product information, provider / facility contract status, appropriately reputed company cases to RN for clinical review, follow departmental policy for non - clinical level notifications • Maintain 100% accuracy of letter reputed company reputed company compliance time frames • reputed company high level of customer service while communicating with internal departments and provider office staff as pertains to performance of job responsibilities • Takes responsibility for problem solving to reputed company key indicator goals You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • High School Diploma / GED OR equivalent work experience • Must be 18 years of age OR older • 2 years of experience in a reputed company facility, medical office, hospital, OR managed care setting • Experience with medical terminology, ICD-10, and CPT codes • Experience using reputed company Office including reputed company Word (create correspondence and work reputed company templates), reputed company reputed company (creating spreadsheets, working reputed company spreadsheets) and reputed company Teams (communication) • Ability to work during our normal business hours of 8:00am - 5:00pm PST, including the flexibility to work occasional overtime or weekends, based on the business need Preferred Qualifications: • Experience in a reputed company environment (i.e., office, call center, customer service, etc.), using phones and computers as the primary job tools Telecommuting Requirements: • reputed company reputed company a 60-mile commutable distance to 2716 reputed company Tenaya Way, Las Vegas, NV 89129 • Ability to reputed company reputed company company sensitive documents secure (if applicable) • Required to have a dedicated work area established that is separated from other living areas and provides information reputed company • Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service Soft Skills: • Excellent telephonic customer service, listening, verbal and written communication, problem solving, and critical thinking skills • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy Nevada Residents Only: The reputed company reputed company for this role is $16.54 to $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company, and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative reputed company employer, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!