Clinical Administrative Coordinator Resume Samples

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Clinical Administrative Coordinators are employed by the healthcare industry and are responsible for managing daily operation in a clinic or hospital department. Essential job duties of a Clinical Administrative Coordinator are maintaining employee schedules, overseeing admissions and discharges, allocating hospital resources, providing support to medical staff, and assigning patients to the appropriate practitioners. Those interested in a job in this field should be able to demonstrate in their resumes organizational skills, knowledge of medical terminology, time management, being able to work under pressure, and effective communication. Successful example resumes make display of at least an Associate’s Degree in healthcare management.

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1

Clinical Administrative Coordinator

  • Provided expertise claims support by reviewing, researching, and investigating all types of preventive and clinical claims to ensure members received appropriate critical measures
  • Effectively multi-tasked shifting back and forth between two or more activities at a time
  • Developed and maintained business relationships with providers’ offices
  • Completed multiple high priority projects before deadline
  • Provided superior customer service for incoming and outgoing telephone calls to or from members, providers, employer groups and other persons deemed necessary by management
  • Documented all outcomes by maintaining records, reports and statistics as required
Candidate Info
6
years in
workforce
3
years
at this job
HS
High School Diploma
Nursing Assistant Course
2

Clinical Administrative Coordinator

Easily establish rapport with people of all ages, cultures, and beliefs. Dealt tactfully and effectively with difficult members. Ethical,
skilled communicator. Can establish individual and group rapport. Setting appointments for Practitioners

  • Assisted members with questions regarding their membership
  • Communicated with customers daily
  • Communicated information clearly and accurately
  • Committed to the assistance and support of others while maintaining a cheerful and helpful attitude
  • Assisted customers with inquiries and provided all pertinent information
  • Answered inbound calls and assisted members with concerns.
Candidate Info
11
years in
workforce
2
years
at this job
3

Senior Clinical Administrative Coordinator

Train junior staff how to use company specific excel sheet; patient care opportunity report, on ICUE, how to track work and hours, refresher on EEOC and benefits, trained on company specific phone system, how to deal with adverse and diverse members.

  • Serve customers by providing information on coverage and benefits
  • Maintained detailed documentation of case information on ICUE, PCOR; patient care opportunity report, CareOne, and Health Collaborative
  • Adhere to corporate requirements based on CMS, ADA, False Claims Act, UnitedHealth Group Compliance, Total information management, and Health Collaborative
  • Partner with practice's staff to manage appointments and share relevant data
  • Thrive in a fast-paced, quick-changing environment that requires multitasking tasking skills
  • Recognized for outstanding service with Opal, Aquamarine, and e-Bravo awards for Productivity, Innovation and team building
  • Created a team specific spread sheet to help track and show the teams work towards helping members meet their health goals
  • Built and maintained relationships with Providers by reaching out and working with their office management team to help members meet their health goals
Candidate Info
15
years in
workforce
2
years
at this job
AS
Business Administration Management
4

Clinical Administrative Coordinator

Provides routine administrative and clinical support. Position involves frequent interaction with insurance policy holders.

  • Enrolled participants into disease management, life coaching and maternity programs.
  • Completed health risk assessments for newly diagnosed participants.
  • Worked with various insurance companies and registered nurses to ensure positive participant outcomes.
  • Followed up with maternity program participants to monitor their progress and anticipate needs.
  • Linked maternity participants with case managers as needed.
Candidate Info
12
years in
workforce
1
year
at this job
BBA
Business Administration
5

Clinical Administrative Coordinator

Provided administrative support to Project Manager/Director of current study in addition to the whole project team

  • Coordinated and supported external client meetings, including the organization and arrangement of meeting materials, catering and any necessary travel arrangements, as requested
  • Provided routine administrative support for clinical projects (e.g., correspondence to sites, mailings, faxing, photocopies, filing, arrange and attending client / team meetings, taking of minutes etc.)
  • Maintained administration systems (tracking and other in-house systems) for the clinical projects and/or department
  • Screened/directed incoming calls to appropriate person/department from internal and external clients; respond to inquiries as required
  • Maintained incoming/outgoing queries
  • Completed special projects assigned via supervisor or department
  • Acted as liaison between support staff and department management by providing feedback on performance and training/mentoring needs, including training and mentoring of support staff
  • Assisted in identifying and implementing best practices between/across project teams
  • Assumed a coordinating role for the department concerning administrative matters
  • As applicable, acted as liaison with Administrative/Office Services, coordinating all aspects of internal moves (office/workstation assignments)
Candidate Info
7
years in
workforce
2
years
at this job
HS
High School Diploma
Ba With Concentration
6

Clinical Administrative Coordinator

Develops and enforces policies and procedures and ensures optimal patient relations

  • Receives approval of budgets and pay scales in clinical settings that specialize in specific treatments
  • Possesses knowledge of insurance processes, new medical treatments and government guidelines
  • Processes admission notifications; enters cases in Facets and Q; sends face sheets to clinical team and files documents
  • Inputs data of census updates and discharged cases, including entry of correct dates, room type codes, discharge disposition and status; filing of documents; runs Q daily update report daily
  • Processes enrollment forms upon notification
  • Verifies insurance eligibility; bills cases; flags cases for LOB potential
Candidate Info
11
years in
workforce
2
years
at this job
AS
Human Services
7

Sr. Clinical Administrative Coordinator & Trainer I Administrative Support Services

  • Served as a day to day contact to address client requests, contractual obligations, work procedures, appointment request for MD's, Scheduling and other elements of supporting assigned clients.
  • Managed process improvement projects at a department level.
  • Coached and trained staff in areas such as building relationships, providing quality resolution to internal and external customers, process improvement efforts to improve current processes and reduce and/or eliminate inefficient practices.
  • Collaborate with other operational areas to identify client scenarios that were not meeting mutual needs and recommended appropriate course of action(i.e. unfavorable business solutions & unprofitable business practices
  • Evaluated & analyzed client satisfaction metrics/data and direct feedback to identify opportunities for improving client outcomes, and took appropriate action to remediate as warranted.
  • Worked with support teams such as member services for capacity planning, claim processing to ensure service level agreements are met, employer reporting when special report packages are warranted, as well as area such as internal pharmacy benefit manager and other areas to ensure the proper operational support can be offered pre/post renewal and/or pre/post installation.
  • Participate in risk assessment activities by working with senior leadership to develop cost saving initiatives.
  • Facilitate relations with various Behavioral Health facilities and MD's
  • Responsible for the service level of 300+ customers.
Candidate Info
14
years in
workforce
3
years
at this job
HS
High School Diploma
BA
Healthcare Management
8

Senior Clinical Administrative Coordinator

  • Provided telephonic support to health plan members in a call center environment.
  • Established a personal plan focusing on members' preventative health screenings.
  • Worked as liaison between members, physicians' offices and functional team include nurses, social workers and medical directors.
  • Supported new hire training as team leader.
Candidate Info
14
years in
workforce
3
years
at this job
BS
Business Administration
9

Clinical Administrative Coordinator

  • Educate members about preventative healthcare and schedule them for programs available to them through their individual health care plans.
  • Achieve performance metrics for production, quality assurance, and adherence goals, on a daily basis, showing consistency and often making top performer and high quality assurance scores within the call center.
  • Offer outstanding support for members by coordinating services with heath care facilities and providers
  • Find different strategies and solutions when handling members' reluctance to participate in various programs.
  • Work independently and with team members to collect data and pilot new innovative programs and practices.
Candidate Info
11
years in
workforce
1
year
at this job
HS
Successfully
10

Clinical Administrative Coordinator

  • Educate members about preventative healthcare and schedule them for programs available to them through their individual health care plans.
  • Achieve performance metrics for production, quality assurance, and adherence goals, on a daily basis, showing consistency and often making top performer and high quality assurance scores within the call center.
  • Offer outstanding support for members by coordinating services with heath care facilities and providers
  • Find different strategies and solutions when handling members' reluctance to participate in various programs.
  • Work independently and with team members to collect data and pilot new innovative programs and practices.
Candidate Info
11
years in
workforce
1
year
at this job
HS
Successfully

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