Clinical Coordinator

Dane Street, LLC

13h•Remote

About The Position

This role supports the Quality Assurance (QA) and Customer Service (CSR) teams by reviewing incoming referrals, pulling applicable clinical guidelines and payer policies, and ensuring all required documentation is complete and accurate. In a fast-paced, high-volume environment, this individual plays a key role in maintaining workflow efficiency, supporting timely intake processing, and identifying and communicating any missing information needed for review.

Requirements

Business experience in a healthcare and/or insurance setting is required.
Ability to work independently and collaboratively within a team environment, with strong time management and prioritization skills.
Excellent written and verbal communication, keen attention to detail, and the ability to multitask effectively.
Highly organized, adaptable, and proficient in computer applications, including Microsoft Office (Outlook, Excel, and Word).
Supply and support their own internet services.
Maintaining an uninterrupted internet connection is a requirement for all work-from-home positions.

Nice To Haves

Experience with prior authorization, utilization management, or clinical guideline review is preferred.

Responsibilities

Identify and pull appropriate clinical guidelines and payer policies to support review workflows
Support QA and CSR teams with administrative and operational tasks
Monitor and manage shared inboxes to ensure timely response to emails and intake requests
Identify missing or incomplete information within referrals and promptly notify CSR and QA teams
Maintain accuracy and attention to detail in a high-volume, deadline-driven environment
Collaborate with cross-functional teams to ensure efficient intake and review processes