Administrative Clerk II Job at Elevance Health (PLANO)

Job Description

The Administrative Clerk II will be responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals.

Job Responsibility

Act as a first level SME, ability beyond intake calls that include working on production oriented work, may include physician assisting and/or special projects
Act as liaison between hospital, health plans, physicians, patients, vendors and other referral sources
Review complex referrals for completeness and follows up for additional information if necessary
Assign referrals to staff as appropriate
Contact physician offices as needed to obtain demographic information or related data
Enter referrals, document communications and actions in system
Enter referrals, document communications, actions and other data in system
Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers
Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment
strong verbal and written communication skills, both with virtual and in-person interactions
attentive to details, critical thinker, and a problem-solver
demonstrates empathy and persistence to resolve caller issues completely
comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts
Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary
Perform other duties as assigned.

Requirements

Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment
or any combination of education and experience which would provide an equivalent background.

Nice to have

Knowledge of medical terminology, plan specific guidelines
ICD-9 and CPT coding preferred
Strong written and verbal communication skills preferred
High attention to detail, with a focus on documentation accuracy preferred
Excellent time-management and organizational skills preferred
Proven ability to collaborate effectively in a professional environment preferred
Customer service mindset with a healthcare/medical background preferred.

What we offer

merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources

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Administrative Clerk II

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