The Clinical Administrative Coordinator will be responsible for initial triage of members, administrative intake of members or managing the admission/discharge information post-notification, working with hospitals and the clinical team. He/She will also manage incoming calls, manage requests for services from providers/members, provide information on available network services and transfer members as appropriate to clinical staff.

The Clinical Administrative Coordinator will also manage the referrals process, process incoming and outgoing referrals, and perform prior authorizations. He/She will also perform intake, notification and census roles.

Job Description:

The Clinical Administrative Coordinator will perform all or some of the following Job description:

• Respond to incoming provider and enrollee calls

• Resolve customer service inquiries which could include:
  - Enter notifications, Providers status of an existing notification and determining if notification is required.
  - Complete notification wizard along with ICD-9 and CPT coding
  - Provide excellent customer service to both providers and enrollees
  - Constantly meet established productivity, schedule adherence, and quality standards while maintaining good attendance.
  - Assist with faxes and emails.