Large managed care company is looking for Clinical Administrative Coordinators to work in a fast-paced environment handling customer service or provider calls as needed. This is a short-term contract position that requires working various shift hours and rotating/required weekends and holidays.

WORK LOCATION: FULLY REMOTE. MUST RESIDE IN TX

PAY: $18.00

CONTRACT DATES: 9/1/25 - 12/31/25

HOURS: 8 hours a day, 5 days a week, weekends and holidays included

RESPONSIBILITIES

• Provides data entry, filing, tracking time frames and status of case files and mailing letters to patients and providers
• Reviews denials and determines whether the decisions are retro/claims DOS or prospective DOS, and whether they are NCB or medically necessary
• Receives appeal requests from health plans and/ or QIO, logs request, researches and provides requested information
• Works with claims department to redirect claims related appeal requests
  
• Generates reports for analysis by department using the data entry system
  

QUALIFICATIONS

• Highschool/GED or equivalent
• 2+ years of telephonic customer service experience
• Demonstrated excellent verbal and written skills
• Sound knowledge of medical terminology
  
• Proficient software computer skills
• Familiarity with ICD-9 coding is preferred