Senior Clinical Coordinator

St. Louis, MO
Full Time
Mid Level
Position Summary
The Senior Clinical Coordinator provides support for team members and Team Leads.  The Senior Clinical Coordinator will work directly with the Team Leads to ensure support and efficiency for all teams in the Case Processing department.

Essential Duties and Responsibilities
The essential functions include, but are not limited to the following:
  • Review cases to ensure benefits checks, orders, and notes are correct. Answer questions and train team members
  • Perform initial case review of all open cases on team
  • Review and approve all orders and upgrades for the team
  • Cover for other Team Leads and team members in their absences.  This includes benefits checks, reviewing notes, creating documents, provider follow ups and creating authorizations
  • Start and follow up on the insurance authorization process
  • File appeals for authorizations that have been denied
  • Create medical documents
  • Review medical records to determine information needed to process the order
  • Train new team members
  • Update patient files with relevant information
  • Communicate with insurance companies by fax, email and telephone
  • Effective communication with patients, sales team and corporate staff regarding the status of the patient’s order
  • Willing to support all members of the team as well as team lead
  • Comply with all HIPAA and privacy regulations
  • Adhere to laws and best practices in regards to dealing with patients and patient data
  • Perform other job-related duties as assigned
Minimum Qualifications (Knowledge, Skills, and Abilities)                                            
  • Prior BioTAB Case Processing experience, minimum of six months required
  • High School Diploma or GED, required
  • MS Office experience, minimum of  six months required
  • Data entry skills, minimum of six months required
  • Basic medical terminology, minimum of six months required
  • Excellent telephone skills, minimum of six months required
  • Verbal and written communication skills, required
  • Able to work in a team environment, required
  • Medical documentation review, minimum of six months required
  • Attention to detail, required
  • Critical thinking skills, required
  • Experience working in a healthcare setting, preferred

Physical Demands and Work Environment 
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.
  • Must be able to work onsite at our corporate headquarters in Maryland Heights, MO
  • Must be able to work in an office setting, use a computer, keyboard and mouse for the majority of the shift and be able to communicate on the telephone
  • Must be able to work the scheduled 8 hour shift Monday-Friday
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