[Hiring] Clinical Support Specialist @Sanderson Firm

Role Description

The Clinical Support Specialist supports the clinical team by performing a variety of administrative and analytical tasks that contribute to the team’s overall production efforts. Responsibilities include:

• Conducting a preliminary case review prior to assigning files to the Nurse Allocator by reviewing medical records, payment histories, pharmacy records, and related documentation to confirm all necessary materials have been received for accurate allocation development.
• Identifying missing information or documentation and communicating with the client to obtain clarification prior to case completion.
• Extracting, organizing, and categorizing medical records from client systems as required.
• Preparing and maintaining allocation templates and supporting documentation.
• Prioritizing and coordinating workflow by assigning cases to Nurse Allocators and monitoring task progress.
• Pricing future care recommendations within allocations using established pricing resources and systems.
• Assisting in preparing treating physician statements to be provided to clients upon completion of allocations.
• Supporting the preparation of allocation reports by reviewing and summarizing medical records, billing records, and medical and pharmacy payment histories to outline an injured individual’s past, current, and future treatment needs related to the injury.
• Reviewing and extracting medical records required for rated age submissions and preparing documentation requests to obtain necessary information.
• Providing additional administrative and case support to the Clinical Support Supervisor as needed.

Qualifications

• Proficiency in Microsoft Office Suite, including Word and Excel for document preparation and data management.
• Ability to effectively multitask in a high-volume environment while maintaining accuracy and attention to detail.
• Excellent written and verbal communication skills with the ability to clearly convey information.
• Ability to meet designated deadlines in a fast-paced, production-driven environment.
• Strong interpersonal, organizational, and time management skills.
• Ability to work independently as well as collaboratively within a team environment.
• Demonstrated strong attention to detail and commitment to quality.
• Professional certification such as MSCC, CMSP, CLCP, or CNLCP preferred.
• 5+ years of Medicare Secondary Payer (MSP) clinical experience preferred.
• 1–3 years of experience in the insurance industry preferred.

Benefits

• 100% Employer-Paid Medical Insurance for employees
• Dental & Vision Coverage
• 401(k) with Company Match
• Company-Paid Life Insurance
• Optional Short Term Disability, Accident Insurance and more
• Paid Time Off & Holidays
• Supportive and team-oriented culture