Kelly Services Job - 32836103 | CareerArc
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Company: Kelly Services
Location: Chattanooga, TN
Career Level: Entry Level
Industries: Recruitment Agency, Staffing, Job Board

Description

Clinical Assistant – Chattanooga, TN

Kelly Services, a global leader in staffing solutions, is seeking Clinical Assistants - for our industry-leading health insurance client in the Chattanooga, TN area!  

Job Profile Summary:

Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education.

Job Responsibilities:

  • Supports customer service activities and initiatives for a number of products or clients including but not limited to the Case Management and Utilization Management departments.
  • Screen incoming calls and/or faxes or other digital format for UM and/or CM and direct calls/faxes/other digital requests to the appropriate area. Identify and refer cases appropriately to the Case Management and/or Transition of Care department.
  • Receiving, investigating and resolving customer inquiries and claims. Maintain departmental goals. Perform projects, review and handle reports as assigned.
  • Load complete organization determination/notification for services designed by internal policy. Clearly document and key data into the appropriate system using departmental guidelines.
  • Interact with membership, hospital and provider staff, advising of UM decision, status organization determinations, giving direction as necessary.
  • Search for and key appropriate diagnosis and /or procedure code as part of the notification /prior authorization process.
  • Must be able to pass required testing.
  • Participation and attendance are mandatory.
  • This position requires flexibility, due to rotations in schedules, and requires adherence to assigned schedules.
  • Work overtime as required

Minimum Requirements:

  • 1 year experience in a customer service support role is required
  • Effective communication, ability to utilize multiple systems at once & time management.
  • Proficient in Microsoft Office Outlook, Word, Excel and PowerPoint
  • Proficient oral and written communication skills
  • Proficient interpersonal and organizational skills
  • Exceptional time management skills
  • Ability to work independently under general supervision and collaboratively as part of a team in a fast paced environment
  • Independent, Sound decision-making and problem-solving skills
  • Extensive knowledge of all aspects of Utilization Management, Care Management, and Behavioral Health.
  • Knowledge and understanding of Medical terminology
  • Solid knowledge and understanding of provider reimbursement methodologies, ICD-9-CM, CPT, HCPCS and UB-92 coding, UHDDS coding guidelines, AHA Coding Clinic
  • Ability to talk and type simultaneously in a clear and concise manner while interacting with customers

Hours:

Monday-Friday from 8:30 am-5:00 pm

Important information: This position is recruited for by a remote Kelly office, not your local Kelly branch.  To be considered for this position, you must use the submit now button below.   If you have questions regarding this opportunity, you may contact the recruiter for this position at matthsy@kellyservices.com.

Why Kelly®? As a worker today, it's up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what's next is what we're all about. We know what's going on in the evolving world of work—just ask the nearly 500,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined. 

About Kelly® At Kelly, we're always thinking about what's next and advising job seekers on new ways of working to reach their full potential. In fact, we're a leading advocate for temporary/non-traditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world. Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females, individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law. #KellyGTS

 

 



Why Kelly®

As a worker today, it's up to you to take charge of your career and look for opportunities to learn, grow, and achieve your potential. Helping you find what's next is what we're all about. We know what's going on in the evolving world of work—just ask the nearly 500,000 people we employ each year. Connecting with us means getting the support, guidance, and opportunities needed to take your career where you may have never imagined.

About Kelly®

At Kelly, we're always thinking about what's next and advising job seekers on new ways of working to reach their full potential. In fact, we're a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live. Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world.

Kelly is an equal opportunity employer committed to employing a diverse workforce, including, but not limited to, minorities, females, individuals with disabilities, protected veterans, sexual orientation, gender identity. Equal Employment Opportunity is The Law.
#KellyGTS

]] About Kelly Services

Kelly Services, Inc. (NASDAQ: KELYA, KELYB) is a leader in providing workforce solutions.

Kelly offers a comprehensive array of outsourcing and consulting services as well as world-class staffing on a temporary, temporary-to-hire, and direct-hire basis.

Serving clients around the globe, Kelly provided employment to more than 540,000 employees in 2013. Revenue in 2013 was $5.4 billion.


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