Clerical Coordinator

Empowering Wellness, Transforming LivesOptima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!Job SummaryThe Clerical Coordinator provides essential clerical and administrative support to the Enhanced Care Management (ECM) Opt-In department and the Opt-In Manager. This position is responsible for maintaining accurate member records, coordinating with healthcare providers, processing eligibility information, and ensuring smooth operational workflow within the ECM Opt-In department. The role requires attention to detail, strong organizational skills, and the ability to handle sensitive healthcare information in compliance with HIPAA regulations.Duties/ResponsibilitiesProvide comprehensive clerical support to the ECM Opt-In ManagerAssist with data entry and record management for member enrollment processesPrepare reports, correspondence, and other documents as requestedContact Primary Care Providers to obtain current contact information and verify member assignmentsMaintain updated provider contact database and ensure accuracy of provider informationRun member eligibility checks through appropriate healthcare systems and databasesUpdate member information in relevant systems and maintain data accuracyMonitor and update Availity system with current member and provider informationField incoming calls from the ECM mainline and direct calls appropriatelyProvide basic information to members regarding ECM program benefits and servicesDocument call interactions and maintain accurate communication logsTrack and monitor referral processes and outcomesProcess and distribute UTC (Unable to Contact) letters to members and providersUpdate and maintain MIF (Member Information Files) with current member dataEnsure all activities comply with HIPAA regulations and maintain member confidentialityMaintain organized records and ensure proper retention of all documentationSupport audit processes by providing accurate documentation and recordsPerform other duties as assigned.Education and ExperienceHigh school diploma or equivalent requiredMinimum 1-2 years of experience in healthcare administration, medical office, or clerical support roleExperience with healthcare databases and electronic health record systems preferredPrevious experience in managed care, insurance, or healthcare enrollment processesKnowledge of healthcare terminology and medical coding basicsRequired Skills/AbilitiesProficient in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)Experience with healthcare databases and electronic systemsStrong data entry skills with high level of accuracyAbility to learn new software systems quicklyExcellent verbal and written communication skillsProfessional phone manner and customer service orientationAbility to interact respectfully with members, providers, and healthcare professionalsStrong attention to detail and accuracy in data managementExcellent organizational skills and ability to prioritize multiple tasksProblem-solving abilities and initiative to resolve routine issues independentlyAbility to work effectively under pressure and meet deadlinesUnderstanding of HIPAA regulations and healthcare privacy requirementsDemonstrated ability to maintain confidentiality of sensitive informationKnowledge of healthcare compliance standards and documentation requirementsPhysical RequirementsProlonged periods sitting at a desk and working on a computerAbility to use standard office equipment including telephone, computer, printer, and filing systemsMust be able to lift up to 20 pounds occasionally for filing and office supply managementPay range$18—$21 USDBenefitsOur full-time employees are eligible for the following benefits enrollment after 60 days of employment:Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.Short & Long-Term Disability Benefits: Protection when you need it most.Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.Flexible Spending Accounts: Manage your finances with flexibility.Employee Assistance Program (EAP): Support when life throws challenges your way.401(K): Building your financial future with us. Effective after 1 year of employment.Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.Paid Holidays: Quality time to enjoy celebrations.Employee Referral Program: Share the opportunities and reap the rewards.Company Discount Program: Enjoy savings on everyday expenses and memberships.Equal Employment OpportunityOptima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.Pre-EmploymentOptima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.

Salary : $18 - $21