[Hiring] Clinical Support Specialist @Sound Physicians

Role Description

The Clinical Support Specialist (CSS) is responsible for providing administrative and operational support for the remote physician advisors and are the primary point of contact when issues arise. This is a full-time, remote position Monday-Friday 8am-5pm.

• Administrative support to facilitate the completion of appeal letter requests including, but not limited to:
  • Creating cases
  • Preparing the medical record for the appeal writer
  • Confirming deadlines
  • Printing and mailing final letters
  • Calling payers to confirm outcomes
• Maintaining access to all client EMRs and reviewing EMR training material to become an expert in EMR navigation; preparing PDF extracts of key components of the EMR needed for physician advisor case review
• Scheduling peer-to-peer reviews between physician advisors and insurance company medical directors
• Resolving issues preventing physician advisors from completing cases such as:
  • Missing information
  • Questions for case managers or hospital partner physicians
  • EMR access issues
• Monitoring and triaging case requests to ensure target case completion deadlines are achieved
• Assisting in coordinating onboarding and training for remote clinical personnel and conducting physician training for EMR navigation
• Coordinating conference calls between partner site IT and clinical personnel
• Coordinating mentor calls for clinical personnel
• Triaging calls during office hours and resolving client inquiries
• Preparing PowerPoint presentations, Word documents, mail merge and Excel spreadsheets as requested
• Initial partner hospital administrative set up in Advisory Services workflow system
• General office work (faxing, mailings, draft letters, order supplies & forms)
• Completing additional special projects as assigned

Qualifications

• “Can-do” Attitude: Proactively seeks assignments, solutions and takes action where and as needed
• Coachable: Demonstrates a willingness to accept feedback from others and put it into practice
• Customer-focused: Puts customer (internal and external) needs first and makes customers their top priority
• Eager to Learn: Proactively seeks out information, embraces learning new things and enjoys the learning process
• Work Ethic: Dedication to getting the job done well and on time, regardless of circumstances, a can-do attitude
• Adaptability: Demonstrates flexibility and a willingness to change as circumstances evolve and be coachable
• Resourceful: Proactive willingness to utilize available information and tools to figure things out, not afraid to ask questions when necessary
• Committed: Demonstrates a dedication to the job, project, organization, customer/clients, and co-workers
• Team Player: Demonstrates the ability to pull people together into highly effective teams along with ability to work in a highly matrixed organization

Requirements

• Excellent general office skills: computers, fax machines, printers, copiers, conference call set-up, scanners, mobile phone/email device
• Proficiency with Microsoft Office Suite, including advanced Outlook, Word, Excel, Visio, Microsoft Project and PowerPoint skills
• High School degree or GED or equivalent experience
• 2 years general business administration experience in a professional settings

Benefits

• Medical insurance, Dental insurance, and Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per year