Clinical Services Operational Specialist – CSOS

Job Description:

• Provide operational and administrative support within assigned departments or teams
• Prepare, verify, enter, organize, sort, route, and process electronic records through assigned workflows
• Conduct research to resolve complex errors, record issues, workflow questions, and system concerns
• Communicate research findings, record status, and workflow information to staff, peers, and leaders
• Provide guidance based on research findings, procedures, and business needs
• Monitor, track, and communicate workload status
• Create, receive, process, and route incoming and outgoing communications
• Cross-train and support multiple functions or workloads
• Prioritize functions and workloads based on business needs, deadlines, and leadership direction
• Collaborate with peers, leaders, and internal stakeholders
• Process live claims using applicable computer systems, as assigned
• Mentor or train peers, as assigned
• Perform other duties, special projects, and assignments as required
• May coordinate work activities and support training or reporting activities
• Work primarily in an office or remote office environment using standard office equipment and computer systems

Requirements:

• High School Diploma or equivalent
• Minimum of one (1) year of clerical or administrative support experience
• Must successfully pass all required pre-employment screenings, including a drug screening
• Ability to obtain and maintain required access approvals, credentials, or background clearances applicable to the assigned contract or work location
• Ability to work accurately in multiple computer systems simultaneously
• Strong computer skills, including Microsoft Office applications
• Strong written and verbal communication skills
• Ability to research, analyze, and resolve record or workflow issues
• Ability to organize work, prioritize assignments, and adapt to changing business needs
• Ability to maintain confidentiality and handle sensitive information appropriately
• Ability to collaborate effectively with peers, leaders, and internal stakeholders
• Strong attention to detail and commitment to quality
• No overnight or out-of-area travel expected; local movement within local sites required
• Ability to perform essential physical requirements with or without reasonable accommodation, including extended sitting or standing, keyboarding, viewing screens, communication, and lifting up to 25 pounds

Benefits:

• Free medical, dental, and vision insurance for employees
• Medical opt-out plan available for qualified employees
• Paid holidays and sick time
• Paid vacation available after one year of employment, based on hours worked
• 401(k) plan eligibility for full-time employees on the first of the month following date of hire
• Supplemental benefits including Accident, Critical Illness, Short Term Disability, and Hospital
• Employee Assistance Program
• Full-time schedule, Monday-Friday with shift times between 8 am and 8 pm