[Hiring] Clinical Support Coordinator @Somatus, Inc.

Role Description

Responsible for initial triage of referrals, working with hospitals, facilities, engagement specialists, and the clinical team. Includes managing outbound calls, providing information on available network services, and preparing cases and transferring them to the appropriate clinical staff. Manages the referrals process, processes incoming and outgoing referrals, verification of facility telephone numbers, fax numbers, and if a member is being seen at a specific facility or by the specific doctor.

• Serve as primary support for clinical case managers.
• Extract and manage fax requests for medical or clinical service.
• Outbound calls to providers to request clinical documentation, verify member information, request missing clinical documentation.
• Request clinical information via fax/email containing lab information and/or results.
• Access electronic member files using policy or ID number.
• Determine member eligibility.
• Follow protocols to task requests appropriately.
• Reference automated job aid tools via the computer to identify appropriate procedures when needed.
• Review and interpret case history documentation.
• Navigate between computer screens and platforms to research information.
• Reference automated job aid tools via computer to research relevant rules, regulations, or procedures.
• Learn computer system and process changes and updates and incorporate into daily work.
• Contact internal resources if necessary to clarify information.
• Identify appropriate resource (e.g., doctor, resource, contracted provider) to respond to medical requests.
• Communicate with clinical team to ensure provider receives a response when necessary.
• Enter medical request data into relevant computer system.
• Follow standard procedures to complete requests.

Qualifications

• High School diploma or GED required.
• At least one year of medical records experience working in a healthcare setting.
• Basic computer skills (able to scan, organize and access electronic health records).
• Strong data entry skills with keen attention to details to ensure accuracy.
• Advanced organization skills.
• Excellent time management skills.
• Experience using Microsoft Office suite.

Benefits

• Subsidized, personal healthcare coverage (medical, dental vision).
• Accrual of 3 weeks’ Vacation (PTO).
• Professional Development, CEU, and Tuition Reimbursement.
• Curated Wellness Benefits supporting teammates' physical and mental well-being.
• Community engagement opportunities.
• And more!

Company Description

As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home.

We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make:

• Authenticity: We believe in real dialogue.
• Collaboration: We appreciate what every person at Somatus brings to the table.
• Empowerment: We make sure every voice gets heard and all ideas are considered.
• Innovation: We relentlessly look for ways to improve upon the status quo.
• Tenacity: We see challenges as opportunities for growth and improvement.