What are the responsibilities and job description for the Clinical Assistant position at Mindlance?
Job Profile Summary
Supports customer service activities and initiatives for a number of products or clients including but not limited to the Case Management and Utilization Management departments.
Job Description
All applicants will be advised that Client, as a federal contractor, may be required to implement a COVID-19 vaccine mandate.
Job Qualifications
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
Supports customer service activities and initiatives for a number of products or clients including but not limited to the Case Management and Utilization Management departments.
Job Description
- Screen incoming calls and/or faxes or other digital format for UM and/or CM and direct calls/faxes/other digital requests to the appropriate area. Identify and refer cases appropriately to the Case Management and/or Transition of Care department.
- Receiving, investigating and resolving customer inquiries and claims. Maintain departmental goals. Perform projects, review and handle reports as assigned.
- Load complete organization determination/notification for services designed by internal policy. Clearly document and key data in to the appropriate system using departmental guidelines.
- Interact with membership, hospital and provider staff, advising of UM decision, status organization determinations, giving direction as necessary.
- Search for and key appropriate diagnosis and /or procedure code as part of the notification /prior authorization process.
- Must be able to pass required testing.
- Participation and attendance are mandatory.
- This position requires flexibility, due to rotations in schedules, and requires adherence to assigned schedules.
- Work overtime as required
All applicants will be advised that Client, as a federal contractor, may be required to implement a COVID-19 vaccine mandate.
Job Qualifications
- High School Diploma or equivalent
- 1 year - Customer service experience is required
- Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
- Proficient oral and written communication skills
- Proficient interpersonal and organizational skills
- Exceptional time management skills
- Ability to work independently under general supervision and collaboratively as part of a team in a fast paced environment
- Independent, Sound decision-making and problem-solving skills
- If current employee with the company, must meet minimum performance expectations
- Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health.
- Knowledge and understanding of Medical terminology
- Solid knowledge and understanding of provider reimbursement methodologies, ICD-9-CM, CPT, HCPCS and UB-92 coding, UHDDS coding guidelines, AHA Coding Clinic
- Ability to talk and type simultaneously in a clear and concise manner while interacting with customers
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
