Clinical Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• **PRIMARY DUTIES & RESPONSIBILITIES**

• - Gather and extract relevant clinical guidelines and payer policies to facilitate review workflows.

• - Assist QA and CSR teams with administrative and operational responsibilities.

• - Oversee and manage shared inboxes to ensure prompt responses to emails and intake requests.

• - Detect missing or incomplete information in referrals and quickly inform CSR and QA teams.

• - Ensure precision and meticulousness in a fast-paced, deadline-oriented environment.

• - Work collaboratively with cross-functional teams to promote effective intake and review procedures.

⛳️ Requirements

• **EDUCATION/CREDENTIALS:**

• No formal education or credential prerequisites; relevant experience and skills are highly valued.

• **JOB-RELEVANT EXPERIENCE:**

• Business experience in a healthcare and/or insurance context is necessary. Experience with prior authorization, utilization management, or clinical guideline evaluation is preferred.

• **JOB-RELATED SKILLS/COMPETENCIES:**

• Capability to work both independently and as part of a team, demonstrating strong time management and prioritization abilities. Excellent written and verbal communication skills, a sharp attention to detail, and the capacity to multitask efficiently. Highly organized, versatile, and skilled in computer applications, including Microsoft Office (Outlook, Excel, and Word).

🏝️ Benefits

• Become a part of the Dane Street team and take advantage of a comprehensive benefits package designed to enhance your well-being and peace of mind. We provide a variety of benefits including medical, dental, and vision coverage for you and your family. Moreover, voluntary life insurance options are available for you, your spouse, and your children. Additional voluntary benefits include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no charge. Our generous paid time off policy allows you to relax and recharge, while our 401k plan includes a company match to assist you in planning for your future. Apple equipment and a media stipend are supplied for remote workspaces.

• ABOUT DANE STREET:

• A dynamic, Inc. 500 Company with a high-performance culture, is in search of insightful, forward-thinking professionals. We process over 200,000 insurance claims each year for leading national and regional Workers’ Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We offer tailored Independent Medical Exams and Peer Review programs that support our clients in achieving the appropriate medical determination as part of the claims management process.