Clinical Administrative Coordinator is responsible for assisting in clinical functions. The roles and responsibilities highlighted in the job description template are smooth operations of the clinic, greeting all visitors, managing phone calls, emails and faxes and providing clerical support services for delivering effective results. The responsibilities highlighted in the Clinical Administrative Coordinator Resume are assisting in intake and discharge procedures, maintaining accounts receivables and collection, maintaining a log of clients and assigning appropriate therapist for them and providing administrative support.
The educational qualification required for this job role is a high school diploma or equivalent. Experience in related field is an advantage. The skill set needed for this job role is proficiency in computers, Microsoft office, internet research and other software, good organizational skills and a flexible approach and excellent communication skills. The individual should be a quick learner and handle everything efficiently.
Objective : Dedicated Clinical Administrative Coordinator with 5 years of experience in healthcare operations. Proficient in optimizing patient care processes and ensuring compliance with healthcare regulations. Adept at coordinating administrative functions, managing records, and enhancing team collaboration to improve service delivery. Eager to leverage expertise in a dynamic healthcare environment focused on quality and efficiency.
Coordinating administrative tasks to support families of children with special needs, resolving benefit issues efficiently.
Serving as the primary contact for clients, providing compassionate support and ensuring a positive experience.
Building strong relationships with clients and team members to enhance service delivery.
Utilizing critical thinking to independently solve problems and frame realistic expectations for clients.
Organizing and prioritizing tasks to meet established objectives and deadlines.
Proactively identifying member needs and sourcing internal resources to provide added value.
Assessing and making appropriate referrals to other programs and services as necessary.
Experience
2-5 Years
Level
Junior
Education
B.S. Health Admin.
Clinical Administrative Coordinator Resume
Objective : Seasoned Clinical Administrative Coordinator with 5 years of experience in streamlining healthcare operations and enhancing patient care. Expertise in coordinating administrative tasks, managing patient records, and ensuring compliance with healthcare regulations. Committed to fostering effective communication among teams to improve service delivery in fast-paced environments.
Managed intake processes for new referrals, ensuring accurate data entry for patients and associated healthcare providers.
Conducted onboarding calls with new patients, discussing financial options and care coordination with healthcare teams.
Maintained communication with sales representatives to track referral processing and identify missing information.
Reviewed insurance contracts to ensure accurate patient pricing and reimbursement processes.
Assessed insurance policies for coverage details and authorization requirements prior to service initiation.
Provided daily updates to pharmacy and nursing teams regarding new patient care initiations and existing patient statuses.
Connected patients with necessary healthcare resources, addressing both medical and behavioral needs.
Experience
2-5 Years
Level
Entry Level
Education
B.S. in HA
Senior Clinical Administrative Coordinator Resume
Summary : Accomplished Clinical Administrative Coordinator with a decade of experience in optimizing healthcare operations and enhancing patient care standards. Skilled in regulatory compliance, administrative coordination, and data management. Proven ability to lead cross-functional teams and improve service delivery in fast-paced environments. Passionate about driving quality improvements in patient services.
Collaborated with staff to meet performance metrics and support case management for patients.
Acted as a Subject Matter Expert for bilingual communications, ensuring accurate updates to state insurance plans.
Managed medical, dental, and pharmacy insurance billing and compliance processes effectively.
Resolved customer inquiries, providing timely assistance in both English and Spanish.
Delivered exceptional bilingual support to healthcare providers and state auditors.
Assisted with communications for Spanish-speaking members, enhancing service delivery.
Provided case management support tailored to diverse cultural backgrounds.
Experience
7-10 Years
Level
Senior
Education
B.S. in HA
Clinical Administrative Coordinator Resume
Summary : Results-oriented Clinical Administrative Coordinator with 10 years of extensive experience in enhancing operational efficiencies within healthcare settings. Proven ability to coordinate complex administrative tasks, streamline patient care processes, and ensure compliance with regulatory standards. Committed to fostering collaboration among teams to elevate service delivery and improve patient outcomes.
Skills : Microsoft Office Suite, Healthcare Strategic Planning, Clinical Support, Healthcare Non-profit Management, Healthcare Call Center Operations
Description :
Facilitated patient registration and scheduling, ensuring accurate insurance verification.
Achieved divisional productivity targets through effective management of clinical review processes.
Collaborated with the clinical director to enhance departmental focus through monthly strategy meetings.
Supported nursing and clinical teams by addressing administrative concerns and facilitating care coordination.
Confirmed admission and discharge dates with healthcare facilities and physician offices.
Coordinated surgical schedules by liaising with physicians and verifying medical coding for claims.
Directed patient referrals to disease management programs and tracked hospice cases weekly.
Experience
10+ Years
Level
Consultant
Education
B.S. in Health Admin.
Sr. Clinical Administrative Coordinator Resume
Summary : Proficient Clinical Administrative Coordinator with 10 years of experience in optimizing healthcare operations and enhancing patient care quality. Demonstrates expertise in regulatory compliance, team collaboration, and administrative efficiency. Committed to driving improvements in service delivery and patient outcomes within diverse healthcare environments.
Skills : Electronic Health Records (ehr) Management, Patient Scheduling Optimization, Clinical Data Management, Clinical Protocols, Health Care Regulations
Description :
Coordinated patient scheduling and managed appointment calendars for clinical staff.
Oversaw daily operational procedures, including budgeting, data collection, and staff supervision.
Coordinated monthly clinician orientations to ensure adherence to compliance standards.
Prepared internal and external reports, including policy statements and grant proposals.
Analyzed medical staff satisfaction surveys to enhance communication and workflow.
Acted as infection control coordinator, implementing policies that reduced infection rates.
Maintained PCMH standards by organizing staff meetings and documentation compliance.
Experience
7-10 Years
Level
Senior
Education
B.S. in HCA
Clinical Administrative Coordinator Resume
Objective : Experienced Clinical Administrative Coordinator with 5 years in healthcare management. Specializes in enhancing operational workflows, ensuring regulatory compliance, and fostering effective team collaboration. Proven track record of streamlining patient care processes and improving service delivery outcomes. Poised to contribute valuable expertise to a forward-thinking healthcare organization.
Skills : Clinical Documentation, Regulatory Compliance, Patient Record Management, Process Improvement
Description :
Trained new staff members and created a comprehensive job training manual.
Consistently met productivity and quality standards while maintaining excellent attendance.
Drafted compliance letters for various clients, ensuring adherence to industry regulations.
Ensured all documentation met regulatory and accreditation standards.
Maintained up-to-date knowledge of state and federal healthcare regulations.
Selected appropriate letter templates based on program requirements, demonstrating thorough understanding of processes.
Collaborated with team members to enhance workflow efficiency and service delivery.
Experience
2-5 Years
Level
Junior
Education
BSHA
Jr. Clinical Administrative Coordinator Resume
Objective : Results-focused Clinical Administrative Coordinator with 5 years of expertise in enhancing healthcare processes and patient engagement. Skilled in managing administrative operations, ensuring regulatory compliance, and optimizing patient care workflows. Driven to implement effective strategies that improve service quality and operational efficiency in fast-paced healthcare environments.
Skills : Microsoft Office, Patient Care Reporting, Electronic Health Records, Quality Assurance, Workflow Optimization
Description :
Reviewed and processed claims to ensure accurate and timely reimbursements, enhancing operational efficiency.
Delivered exceptional customer service through effective communication with members, providers, and stakeholders.
Conducted outreach initiatives to educate members on preventive healthcare services and facilitate program enrollment.
Monitored performance metrics to consistently meet production and quality assurance goals.
Followed up with members to ensure adherence to treatment plans and preventive care services.
Resolved issues from member intervention forms received from Primary Care Physicians (PCPs).
Maintained comprehensive records and documentation to support regulatory compliance and reporting.
Experience
2-5 Years
Level
Junior
Education
BSHA
Clinical Administrative Coordinator Resume
Summary : Dynamic Clinical Administrative Coordinator with 10 years of experience in healthcare operations management. Expert in streamlining administrative processes, enhancing patient care, and ensuring compliance with regulatory standards. Proven ability to foster teamwork and improve service outcomes in high-pressure environments. Committed to driving efficiency and quality within healthcare settings.
Developed and maintained comprehensive databases for tracking patient information and services.
Supervised clerical staff, providing training and orientation to ensure efficient operations.
Established and monitored work procedures, optimizing workflow and accountability.
Facilitated patient services, including order placements and account inquiries, ensuring high-quality support.
Conducted thorough research to obtain essential data, utilizing various online resources.
Adapted to new office technologies, enhancing operational capabilities and efficiency.
Prepared and distributed meeting notes, correspondence, and reports, ensuring clear communication across teams.
Experience
7-10 Years
Level
Senior
Education
BSHA
Clinical Administrative Coordinator Resume
Objective : Strategically driven Clinical Administrative Coordinator with 5 years of experience in optimizing healthcare operations and enhancing patient outcomes. Demonstrated expertise in administrative coordination, regulatory compliance, and process improvement. Passionate about leveraging analytical skills and collaboration to streamline workflows and elevate service delivery within dynamic healthcare environments.
Skills : Healthcare Account Management, Patient Account Management, Patient Communication, Medical Record Management, Patient Scheduling
Description :
Overseeing the administrative intake process for patient admissions and discharges.
Collaborating with healthcare facilities to manage service requests from patients and providers.
Coordinating the referrals process, including prior authorizations and tracking.
Facilitating non-clinical assessments and care coordination notifications.
Reviewing requests for determinations and processing notification requirements.
Assisting clinical teams with documentation for coverage reviews.
Resolving inquiries from members and providers regarding services.
Experience
2-5 Years
Level
Entry Level
Education
B.S. Health Admin.
Clinical Administrative Coordinator Resume
Headline : Accomplished Clinical Administrative Coordinator with 7 years of diverse experience in healthcare settings. Expertise in managing administrative operations, enhancing patient care workflows, and ensuring adherence to regulatory standards. Proven ability to optimize processes and facilitate communication between teams, driving improvements in service delivery and patient satisfaction.
Skills : Staff Training, Professional Integrity, Analytical Problem Solving, Adaptability In Fast-paced Environments, Effective Time Management
Description :
Review and process prior authorization requests, achieving a minimum of 95% accuracy in case data entry.
Ensure compliance with departmental policies for accurate documentation of clinical data and provider information.
Handle adverse determinations effectively, maintaining compliance with business unit requirements.
Monitor trends in pended claims and educate colleagues on error prevention strategies.
Research and resolve claims issues, updating relevant systems promptly.
Maintain 100% accuracy in letter generation and deliver exceptional customer service to internal and external stakeholders.
Collaborate with cross-functional teams to improve administrative processes and enhance overall patient care.
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