Remote Clinical Operations Specialist

Summary

Join FEFA LLC as a Clinical Support Coordinator (CSC) to ensure quality clinical service through evaluation of Compensation and Pension document requests and approving order requests. The CSC will collaborate with subject matter experts to complete work aligning with established production and quality standards.

Requirements

• Completion of an accredited Medical Assistant program and current certification (CMA) from an accredited certifying body or Associate's or Bachelor's degree in a related field (e.g., Healthcare Administration, Medical Assisting)
• Minimum 5 yrs experience in healthcare
• Must be able to type 40 WPM
• Knowledge of healthcare documentation to include medical, behavioral, and psychological terminology
• Excellent verbal and written communication skills including, strong telephone etiquette and interpersonal skills
• Ability to identify lab results and ancillary services
• Ability to interpret medical documentation
• Experience working in an Electronic Medical Record system

Responsibilities

• Conduct accurate and timely review of records
• Evaluate and interpret order requests
• Quality set-up of order request to aid Provider in exam review
• Claims file review and identification of relevant evidence
• Quality claims file bookmarking to aid Provider in exam review
• Request clarification for errors and/or requests not meeting contractual requirements
• Identify trends of new or changing order items
• Participates in projects and team meetings
• Perform detailed work with a high degree of accuracy
• Maintains confidentiality of sensitive information
• Conduct task completion via automated workflow

Benefits

Competitive compensation package including a competitive salary, medical benefits, PTO, holiday pay and more