Clinical Operations Associate

Christian Care Ministry•Melbourne, FL

1d•$17 - $22•Onsite

About The Position

The Clinical Operations Associate specializes in the comprehensive preparation of clinical casework and provides administrative support services to the various departmental teams. Preparation of casework utilizes critical thinking, computer-based, and telephonic skills with providers and members to identify, research, conclude, document, and distribute fully prepared clinical casework for targeted medical conditions and healthcare sharing plan provisions.

Requirements

Substantial understanding of the job and applies knowledge and skills to complete a wide range of tasks in the clinical administrative scope
Effective organizational skills, including working in multiple computer systems simultaneously
Advanced knowledge and understanding of Medi-Share program guidelines and processes
Advanced understanding of Medical Terminology
Advanced skill with Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams)
Excellent computer skills – ability to access, research and use multiple software programs simultaneously and keyboard skills of at least 35 words per minute
Excellent ability to communicate effectively in written, oral, telephonic and digital formats
Work independently and with a team regularly; performs assigned special projects with minimal assistance
Excellent ability to collaborate effectively and professionally with interdisciplinary team members, members/patients, families, providers, facilities and other employees and departments
Strong ability to provide all content within a biblical framework
Ability to comply with HIPAA, PHI, and all call compliance rules and regulations
Results oriented, excellent organizational and planning skills. Ability to work cross-functionally and without supervision
Associates degree in a healthcare related field preferred or a combination of education and experience required.
Medical terminology knowledge and comprehension required.
1-3 years of HealthPlan, medical billing or medical office/facility experience and/or advanced knowledge of the Medi-Share program and processes preferred.

Nice To Haves

Associates degree in a healthcare related field preferred or a combination of education and experience required.
1-3 years of HealthPlan, medical billing or medical office/facility experience and/or advanced knowledge of the Medi-Share program and processes preferred.

Responsibilities

Works on a wide range of tasks in the clinical administrative scope requiring critical thinking skills and judgment to
Analyze the departmental inflow of correspondence, information, and requests received via pre-notifications, queues, emails, mail/faxes, documents, etc. for potential casework
Research and complete any missing information needed to develop a comprehensive case to include telephonically contacting facilities, providers, and/or members and utilizing CRMs and Internet search engines.
Obtain and monitors admission and discharge dispositions through medical record and utilization reviews, face sheets, pre notifications, etc. to identify needed referrals to departmental teams.
Triage and distribute casework based on clinical knowledge and/or criteria
Document casework in appropriate software systems per organizational policy
Collaborate departmentally to deliver accurate, timely, complete, and consistent administrative support and case work
Meet service level agreements for assigned workload (SF and CSI queues, Outlook)
Adhere to all company policies and Standard Operating Procedures
Safeguard patient privacy and confidentiality by following the guidelines set forth in the Privacy and Security Rules of the Health Insurance Portability and Accountability Act (HIPAA)
Pray with members and providers as appropriate.
Attend all required department and organization meetings
Contribute to the exercise and expression of the Christian Care Ministry’s beliefs
Perform all other duties as assigned

Benefits

100% paid Medical for employees/99% for family
Generous employer Health Savings Account (HSA) contributions
Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance
6 weeks of paid parental leave (for both mom and dad)
Dental - two plans to choose from
Vision
Short-term Disability
Accident, Critical Illness, Hospital Indemnity
401(k) – up to 4% match on ROTH or Traditional contributions
Generous paid-time off and 11 paid holidays
Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo
Employee Assistance Program including no cost, in-person mental health visits and employee discounts
Monetary Anniversary Awards Program
Monetary Birthday Awards
Tuition Reimbursement Program