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Clinical Office Clerk

Location : San Juan
Job Type : Direct
Hours : Full Time
Required Years of Experience : 1
Required Education : High School Diploma
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services

Job Description :

Responsible for drafting and sending service pre-certifications and any communication related to services requested for policyholders. Make calls to policyholders and suppliers to request or verify information necessary for the coordination of services and the request for clinical indicators.

    • Receive, and process any request for services requested for policyholders.

    • Draft and send the pre-certifications of services and any communication related to the service requested health care provider and the insured.

    • Refer insured management specialists and clinical management analysts through the tool coordination of services and enrolment in clinical programs.

    • Receiving and channeling calls from policyholders, doctors, internal and external clients related to the processes pre-certifications or any other matter. .

    • Generate calls to track coordinated clinical services to active policyholders under the programs Clinical.

    • Document any intervention made in each policyholder's clinical record at CCMS.

    • Receive, classify, distribute, track and archive correspondence and department documents.

    • Provide follow-up to requests and pending department matters.

    • Prepare promotional material for preventive services to be mailed.

    • Other tasks as assigned by the supervisor and that are essential to the position

Required Qualifications :
Technical Course, preferably in areas related to health sciences or office service administration.
-6 months of experience related to clerical functions or High School Diploma
-Minimum of 1 year of experience in clerical functions.
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