<p>Position Summary</p> <p>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.</p> <p>Essential Duties and Responsibilities</p> <p>The essential functions include, but are not limited to the following:</p> <ul> <li>Review cases to ensure benefits checks, orders, and notes are correct. Answer questions and train team members </li><li>Perform initial case review of all open cases on team </li><li>Review and approve all orders and upgrades for the team </li><li>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 </li><li>Start and follow up on the insurance authorization process </li><li>File appeals for authorizations that have been denied </li><li>Create medical documents </li><li>Review medical records to determine information needed to process the order </li><li>Train new team members </li><li>Update patient files with relevant information </li><li>Communicate with insurance companies by fax, email and telephone </li><li>Effective communication with patients, sales team and corporate staff regarding the status of the patient's order </li><li>Willing to support all members of the team as well as team lead </li><li>Comply with all HIPAA and privacy regulations </li><li>Adhere to laws and best practices in regards to dealing with patients and patient data </li><li>Perform other job-related duties as assigned </li></ul> <p>Minimum Qualifications (Knowledge, Skills, and Abilities)</p> <ul> <li>Prior BioTAB Case Processing experience, minimum of six months required </li><li>High School Diploma or GED, required </li><li>MS Office experience, minimum of six months required </li><li>Data entry skills, minimum of six months required </li><li>Basic medical terminology, minimum of six months required </li><li>Excellent telephone skills, minimum of six months required </li><li>Verbal and written communication skills, required </li><li>Able to work in a team environment, required </li><li>Medical documentation review, minimum of six months required </li><li>Attention to detail, required </li><li>Critical thinking skills, required </li><li>Experience working in a healthcare setting, preferred </li></ul> <p>Physical Demands and Work Environment</p> <p>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.</p> <ul> <li>Must be able to work onsite at our corporate headquarters in Maryland Heights, MO </li><li>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 </li><li>Must be able to work the scheduled 8 hour shift Monday-Friday </li><li>Work from home is available at supervisors discretion and as business needs allow, in accordance with the BioTAB Work From Home Policy </li></ul> <p>Note</p> <p>This job description in no way states or implies that these are the only duties to be performed by the employee(s) of this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the employee(s) will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an at will relationship.</p>