Large managed care company looking to fill a contract clinical administrative coordinator in the El Paso, TX area.

Essential Duties and Responsibilities
• Answers incoming fax, email and phone requests as evidenced by fax log, inbox, and event tracking.
· Initiates member phone calls daily and identifies issues and refers to service coordinator and other health plan departments as indicated. Documents in current service coordination system.
· Accurately schedules, cancels, and documents new and/or follow-up appointments for both face to face and telephonic requests, as needed for service coordinator and other designated team members as identified in service coordination system.
· Receives initial incoming faxes, emails, or phone requests into the department, gathering demographic and benefit data, documenting in appropriate system, and evaluating if the request needs to be referred to a registered nurse, social worker, or transition specialist. This is determined through documented policy and procedure.
· Screens and evaluates all calls and refers as necessary to service coordinator and/or supervisor.

Preferred Qualifications
· Experience as a case management support staff, a customer service representative in a medical office or health plan, utilization review assistant preferred.
· At least a 2-year college Associate’s Degree preferred.
· Previous experience in a managed care environment preferred.
· Previous experience with the State of Texas STAR+PLUS program or similar programs dealing with SSI and disabled adults preferred.
· Knowledge of the Medicare/Medicaid dual population preferred.