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The Associate Manager Clinical Support under general guidance and mentoring, responsible for overseeing and monitoring the day-to-day workflow of clinical support staff.
Job Responsibility:
Serves as a subject matter expert in the administrative and operational processes
Assists in problem solving complex issues and cases, such as provider calls, e-services, and authorization issues
May answers calls from providers and members and responds to phone inquiries
Oversees out of network and chart review administrative processes
Works to streamline processes to ensure productivity and accuracy
Collaborates with internal departments on special projects and reporting
Hires, trains, coaches, counsels, and evaluates performance of direct reports
Requirements:
Requires high school diploma or equivalent with experience in the health field
or any combination of education and experience, which would provide an equivalent background.
Nice to have:
Proficient in Microsoft Office Programs
Experience in working with and pulling data
BA/BS degree in health or human services preferred
6 to 12 months of managerial and/or supervisory experience preferred
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