Clinical Assistant

Job Summary

A company is looking for a Clinical Assistant to join their Senior Care team in a remote role.

Key Responsibilities

• Screen and direct incoming calls, faxes, and digital requests for Utilization Management (UM) and Care Management (CM)
• Investigate and resolve customer inquiries and claims while maintaining departmental goals
• Document and manage authorization requests, including searching for appropriate diagnosis and procedure codes

Required Qualifications

• High School Diploma or equivalent
• 1 year of customer service experience required
• Proficient in Microsoft Office (Outlook, Word, Excel, PowerPoint)
• Extensive knowledge of medical terminology and coding (ICD-10, CPT, HCPCS)
• Ability to work independently and collaboratively in a fast-paced environment