Clinical Coordinator/medical Coordinator
6 months ago
**Roles & Responsibilities**:
- Serve as primary point of contact for providers or members regarding medical/behavioural/clinical services or benefits
- Extract and review requests for medical or clinical services
- Receive calls requesting medical/behavioural/clinical services or benefits information (e.g., from providers or members) -Receive electronic referral form requests for medical/behavioural/clinical services
- Utilize phone system to respond to and transfer calls to appropriate individuals
- Ask callers standard questions to understand requests, gather necessary information, and assess urgency
- Access electronic member files using policy or id number -Determine member eligibility
- Follow protocols to task requests appropriately
- Check procedure codes against notification requirements and benefit coverage to determine next steps -Reference automated job aid tools via the computer to identify appropriate procedures when needed
- Ensure effective collaboration and alignment with medical consultants
**Desired Skills**:
- Ability to communicate well, giving proactive feedback to peers and team.
- Good organizational and multitasking skills.
**Eligibility**:
- Minimum of 1 year of relevant experience working in the Healthcare/Hospital industry is required.
- BAMS/BHMS degree from a reputed Ayurvedic/Homeopathic medical college
**Job Types**: Full-time, Permanent
**Salary**: ₹22,000.00 - ₹30,000.00 per month
Schedule:
- Day shift
Ability to commute/relocate:
- Surat, Gujarat: Reliably commute or planning to relocate before starting work (required)
**Experience**:
- total work: 1 year (preferred)
**Speak with the employer**
+91 9601677819
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