Clinical Administration Coordinator

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Adecco Medical & Science is hiring remote Clinical Administrative Assistants.

Please read below and apply with an updated resume for consideration.

Type: Full-Time, Contract-to-Hire

Shift: Monday to Friday, 9:30 AM to 6PM Mountain Time Zone

Pay: $21 to $23/hr

Responsibilities Include

• Verify eligibility of providers and members for all authorization requests.
• Input and prepare Behavioral Health and Substance Use Disorder authorizations across all lines of business, assigning cases to the appropriate Clinical Coordinator.
• Refer members to the Care Coordination Department when completing discharge documentation to support aftercare planning.
• Notify providers of authorization determinations and coordinate peer-to-peer consultations when cases do not meet criteria.
• Draft denial letters outlining decisions, rationale, and alternative treatment options.
• Assist callers routed to the Behavioral Health Utilization Management department and resolve escalated inquiries.
• Complete required trainings on MCG, ASAM, and InterQual criteria to ensure compliance with NCQA audit requirements.
• Update and maintain job aids; correct errors found in internal reports.
• Perform all duties safely and professionally; other duties assigned as needed.
  
  

Requirements Include

• High School Diploma/GED (or higher).
• 2 years of experience analyzing and resolving customer problems.
• 2 years of experience in the healthcare industry.
• 2 years of experience with medical or behavioral health terminology.
• Intermediate computer proficiency, including electronic clinical records, email, calendaring, and data entry.
• Ability to work a Mountain Time Zone schedule.
  
  

Why work for Adecco?

• Excellent Weekly Pay
• 401(k) Plan
• Skills Training
• Excellent Medical, Dental, and Vision Benefits
  
  

Pay Details: $21.00 to $23.00 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://uat.adecco.com/en-us/candidate-privacy

Requirements

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance
  
  

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

If you have questions about this posting, please contact support@lensa.com