Clinical Services Operational Specialist

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

📋 Description

• Prepare, verify, enter, organize, sort, route, and process electronic records according to designated workflows.

• Investigate and resolve unique or complex errors, record issues, workflow queries, and system-related challenges.

• Relay research findings, record statuses, and workflow updates to staff, colleagues, and management.

• Offer guidance based on research results, established protocols, and business requirements.

• Monitor, track, and communicate the status of workloads.

• Create, receive, process, and route both incoming and outgoing communications.

• Provide cross-training and support across various functions or workloads.

• Prioritize tasks and workloads in alignment with business requirements, deadlines, and leadership directives.

• Collaborate with colleagues, leaders, and internal stakeholders.

• Process live claims utilizing relevant computer systems as assigned.

• Mentor or train peers as assigned.

• Execute additional duties, special projects, and assignments as necessary.

• Coordinate work activities and assist with workload guidance, training, or reporting tasks as assigned.

• Support inspections, meetings, incident response, and contract operations through local movement within local sites.

⛳️ Requirements

• High School Diploma or equivalent is required.

• A minimum of one (1) year of clerical or administrative support experience is necessary.

• Must successfully complete all required pre-employment screenings, including a drug test.

• Ability to obtain and maintain necessary access approvals, credentials, or background clearances relevant to the assigned contract or work location.

• Ability to work accurately across multiple computer systems simultaneously.

• Strong computer skills, including proficiency in Microsoft Office applications.

• Excellent written and verbal communication abilities.

• Capability to research, analyze, and resolve record or workflow problems.

• Ability to organize work, prioritize tasks, and adapt to evolving business needs.

• Capacity to maintain confidentiality and manage sensitive information appropriately.

• Ability to collaborate effectively with colleagues, leaders, and internal stakeholders.

• Strong attention to detail and a commitment to quality.

• Ability to perform essential physical requirements with or without reasonable accommodation.

• Capability to sit or stand for prolonged periods.

• Ability to use hands and fingers for keyboarding and data entry tasks.

• Capacity to view computer screens and written materials for extended durations.

• Ability to lift, carry, or move standard office materials and equipment weighing up to 25 pounds.

• Must reside within 55 miles of Rockledge, Florida.

🏝️ Benefits

• Free medical, dental, and vision insurance for employees.

• Medical opt-out plan available for eligible employees.

• Paid holidays and sick leave.

• Paid vacation available after one year of employment, based on hours worked.

• 401(k) plan eligibility for full-time employees starting on the first of the month following their hire date.

• Supplemental benefits, including Accident, Critical Illness, Short Term Disability, and Hospital coverage.

• Employee Assistance Program.

• Flexible remote work arrangement.