Clinical Support Coordinator
- Maple Grove, MN
- $85,500-104,500 per year
- Permanent
- Full-time
- Rare, complex and chronic disease management and network solutions
- Transplant center of excellence networks and contract evaluation
- Proactive approach to managing quality and cost of care
- Board-certified specialty physician panel, with physician-driven consultation services
- Comprehensive analytical auditing services; hospital and physician claim audits
- Top-tier primary and supplemental PPO networks with supplemental contract negotiations
- Specialty pharmacy management and network
- Advocacy for supplemental payers
- Educational support and webinars
- Manage referral intake, inbox and triage clinical service requests.
- Collaborate with clinical consultants on special projects and client engagement
- Maintain clinical team referral tracking logs
- Assist team with gathering documentation, medical records, and/or background information for complex case reviews
- Review and format various reports to identify potential ongoing risk.
- Participate in meetings, as needed, to address client questions and support clinical service delivery
- Coordinate with vendor network partners to facilitate referral placements, ensuring timely communication and alignment with client needs and service timelines
- Communicate with vendor partners to facilitate case updates, ensure service timelines are met and document outcomes in internal documentation systems.
- Assist with special projects, data gathering, and ad-hoc reporting requests
- Organize and maintain team resource libraries, SOPs, templates, and reference materials.
- Ability to consistently meet deadlines
- Act and respond with a sense of urgency
- Perform other duties as assigned to support the clinical team’s success
- Must be proficient in Microsoft programs including but not limited to Excel, Outlook and Word. Must be able to learn other software programs required by the department.
- Associate or bachelor’s degree in business, or related field preferred
- 2+ years of experience in administrative support roles, preferably in a healthcare or insurance setting
- Strong organizational skills with the ability to manage multiple priorities and meet deadlines
- Excellent written and verbal communication skills to interact professionally with internal teams, clients and vendors.
- Comfortable working in a fast-paced environment, supporting multiple team members
- Experience managing shared inboxes, tracking logs, and follow-up workflows
- Detail-oriented with strong data entry and documentation skills
- Familiarity with healthcare terminology, claims workflows, or billing processes
- Experience supporting clinical teams, case management, or provider networks
- Prior exposure to reinsurance, stop-loss, or healthcare payer operations
- Prior experience working with transplant vendors
- Experience working with healthcare documentation systems (e.g., ShareFile, or similar tools)
- Prior exposure to reinsurance, stop-loss, or healthcare payer operations
- Knowledge of medical billing codes (ICD-10, CPT, HCPCS, DRGs)
- Serves our stakeholders with purpose, successfully and efficiently
- Lives our values in all we do
- Sets the standard by which customers and competitors judge themselves
- Raises the bar for ourselves, on behalf of our clients
- Represents the highest level of professionalism in our industry; embodying honesty, integrity, maturity and appropriateness
- Respects and honors each employee as a valued member of our team
- Fosters a unified team spirit where we all work for the success of each individual
- Maximizes the strengths and minimizes the weaknesses of our employees
- Motivates, trains and develops its people personally and professionally; calling them to share and participate in our Mission, Values, Vision and Goals
- Sustains an environment of direct and respectful communication
- Provides new creative solutions for the needs of our clients
- Addresses value migration proactively and with vigor
- Reinvents itself, continually — thriving in a state of disequilibrium
- Cannibalizes our own products and services to create new trends and solutions (rather than react to current ones), in anticipation of changes in the broader accident and health market
- Is led by a Management Team that, with unity and purpose, is intentionally building something that will survive them