Clinical Admin Coordinator

Remote, USA Full-time
Job Title: Clinical Administrative Coordinator Pay Rate: $20/hour Job Type: Full-Time Schedule: Monday–Friday | 9:30 AM – 6:00 PM Work Environment: Remote / Telecommute Contract to Hire: 01/12/2026 to 06/30/2026 Position Overview The Clinical Administrative Coordinator supports Behavioral Health and Substance Use Disorder Utilization Management by validating eligibility, preparing authorization requests, managing documentation, and ensuring accurate communication with providers and members. This role requires strong attention to detail, excellent communication skills, and the ability to apply clinical knowledge to authorization guidelines. The coordinator also assists with escalated calls, maintains confidentiality, and supports internal teams with accurate documentation and workflow management. Key Responsibilities • Verify eligibility for all provider and member authorization requests • Enter and prepare Behavioral Health and Substance Use Disorder authorizations for multiple lines of business • Refer members to Care Coordination for aftercare planning support • Notify providers of authorization determinations • Facilitate peer-to-peer consultation offers when cases do not meet criteria • Draft denial letters outlining decisions and alternative treatment options • Assist callers routed to the Behavioral Health UM department • Complete required training (e.g., MCG, ASAM, InterQual) • Manage incomplete authorization requests and gather missing information • Take detailed meeting notes and distribute to appropriate teams • Provide benefit, safety, and coverage information to providers and consumers • Maintain strict confidentiality of PHI • Handle escalated calls and resolve complex issues • Upload and verify Release of Information documentation • Organize and track authorization requests • Ensure use of the most up-to-date member handbook guidelines • Support audit preparation by creating bookmarks and correcting report errors • Enter Single Case Agreements into the EHR and notify appropriate teams • Maintain and update job aids • Perform additional duties as assigned Required Qualifications • High School Diploma or GED • 2+ years of experience analyzing and resolving customer issues • 2+ years of experience in the healthcare industry • 2+ years working with medical or behavioral health terminology • Intermediate computer proficiency (EHR navigation, email, online research, data entry) • Ability to work a Mountain Time schedule • A quiet, secure home workspace suitable for handling PHI • Residency in the United States • Ability to obtain or maintain a company-approved high-speed internet connection Preferred Qualifications • 6+ months of experience with electronic medical records (EMR) • Experience in the Colorado healthcare market • Previous remote work experience • Prior data entry experience Remote About the Company: Allmed Staffing Inc Apply tot his job
Apply Now

Similar Jobs

Remote Administrative Support Specialist - No Degree Required

Remote, USA Full-time

Experienced Administrative Assistant – Customer Engagement and Support Specialist – Full Remote Opportunity

Remote, USA Full-time

Experienced Remote bolthires Virtual Assistant – Customer Service and Administrative Support Specialist

Remote, USA Full-time

Administrative Specialist 2 Confidential

Remote, USA Full-time

Administrative Support Services Manager

Remote, USA Full-time

Administrative Specialist Senior

Remote, USA Full-time

[Remote] Seasonal Application Reader – Undergraduate Admission – Office of the Provost

Remote, USA Full-time

Admissions File Reader

Remote, USA Full-time

Senior Manager, Affiliate

Remote, USA Full-time

Affiliate & Influencer Marketing Manager – Shopify, Social Media & Ambassador Program - Contract to Hire

Remote, USA Full-time

Director, Technology Exam and Audit Management – Amazon Store

Remote, USA Full-time

Design Technician II

Remote, USA Full-time

Instructional Coach, Pre-K Partnerships

Remote, USA Full-time

Experienced Full Stack Data Scientist - Artificial Intelligence and Machine Learning with Python, SQL, and Cloud Computing for Transformational Talent Acquisition at Amazon

Remote, USA Full-time

Experienced Remote Data Entry Specialist – Live Chat Support and CVS Data Management Professional

Remote, USA Full-time

Experienced Remote Data Entry Specialist – No Experience Needed for Dynamic Entertainment Industry Leader at blithequark

Remote, USA Full-time

Experienced Virtual Customer Service Manager – Remote Position for a Dynamic and Supportive Team at arenaflex

Remote, USA Full-time

RN – MDS Coordinator (CT – Floater) - Now Hiring

Remote, USA Full-time

Experienced Full Stack Support Engineer – Remote Work Opportunity in AMER Region for GitLab DevSecOps Platform

Remote, USA Full-time

Experienced Online Web Chat Assistant – Customer Service and Digital Communication at Blithequark

Remote, USA Full-time
Back to Home