NEW JOB OPENING
CLINICAL ADMIN COORDINATOR
IN El Paso, TX, USA!

JOB TITLE: Clinical Administrative Coordinator - Bilingual

JOB ID: 100452

DURATION: 3 months

HOURS: Standard

LOCATION: REMOTE - They will work remotely in El Paso but may need to go to the El Paso Health office from time to time for meetings or special events.



Required Qualifications

· Education/Specialized Training/Licensure: High School Diploma or GED or Me.

· 2+ years of experience working with MS Word, Excel, and Outlook.

· Experience in long-term care, home health, hospice, public health or assisted living.

· Bilingual language skills in Spanish and English

· Live in the El Paso, TC area



Preferred Qualifications

· Experience as a case management support staff, a customer service representative in a medical office or health plan, utilization review assistant preferred.

· At least a 2-year college Associate’s Degree preferred.

· Previous experience in a managed care environment preferred.

· Previous experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled adults preferred.

· Knowledge of the Medicare/Medicaid dual population preferred.



Job Summary

To assist provide the administrative support to Service Coordinator to assist in the delivery member services non-waiver and waiver, initiation of member contact, provision of member and provider education and coordination of community resources to promote optimal health.



Essential Duties and Responsibilities

• Answers incoming fax, email and phone requests as evidenced by fax log, inbox, and event tracking.

· Initiates member phone calls daily and identifies issues and refers to service coordinator and other health plan departments as indicated. Documents in current service coordination system.

· Accurately schedules, cancels, and documents new and/or follow-up appointments for both face to face and telephonic requests, as needed for service coordinator and other designated team members as identified in service coordination system.

· Receives initial incoming faxes, emails, or phone requests into the department, gathering demographic and benefit data, documenting in appropriate system, and evaluating if the request needs to be referred to a registered nurse, social worker, or transition specialist. This is determined through documented policy and procedure.

· Screens and evaluates all calls and refers as necessary to service coordinator and/or supervisor.

· Gathers data for statistics by product, service, and network and maintains all required logs.

· Manages the intake of MNLOC and ISP request of identified members.

· Monitors portal to ensure initial assessments and reassessments are completed timely.

· Communicates in progress MNLOC reviews submitted.

· Monitor portal for approval or denial decisions on MNLOC / ISPs

· Document decisions into OICS and provides communication to the Service Coordinator of the outcome.

· Update due dates for the ISP and MNLOC in service coordination system.

· Completes all eligibility and benefit data available on members before routing to service coordinator or transition specialist.

· Assists internal and external departments by providing communication and education regarding case management and transition services and processes.

· Provides input on the availability and accessibility of case management and transition services.

· Provides ongoing education with members regarding managed care and benefits.

· Provides education to members regarding EL Paso Health network, access, community resources, and basis health information.



Knowledge and Skills

· General business and computer knowledge, medical terminology training, some college course work, experience in health care/insurance environment,

· Required for completely satisfactory performance in this job is the ability to operate a computer, word processing software, fax machine, photocopier, and multi-line telephone.

· Excellent written and verbal communication skills required.

· Customer service skills and phone etiquette are required.

· Ability to handle high volume of inbound and outbound calls and perform more than one task at a time in a professional manner.

· Experience in electronic charting

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**