Administrative Clerk II

Elevance Health•Nashville, TX

2d•Remote

About The Position

The Administrative Clerk II will be responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Requirements

Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background.
Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment.
Strong verbal and written communication skills, both with virtual and in-person interactions.
Attentive to details, critical thinker, and a problem-solver.
Demonstrates empathy and persistence to resolve caller issues completely.
Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.

Nice To Haves

Knowledge of medical terminology, plan specific guidelines; ICD-9 and CPT coding preferred.
Strong written and verbal communication skills preferred.
High attention to detail, with a focus on documentation accuracy preferred.
Excellent time-management and organizational skills preferred.
Proven ability to collaborate effectively in a professional environment preferred.
Customer service mindset with a healthcare/medical background preferred.

Responsibilities

Act as a first level SME, ability beyond intake calls that include working on production oriented work, may include physician assisting and/or special projects.
Act as liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
Review complex referrals for completeness and follows up for additional information if necessary.
Assign referrals to staff as appropriate.
Contact physician offices as needed to obtain demographic information or related data.
Enter referrals, document communications and actions in system.
Enter referrals, document communications, actions and other data in system.
Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.
Perform other duties as assigned.