Clinical Services Operations Specialist at Noridian Healthcare Solutions, LLC in Fargo, ND

Job description

• * Position is Eligible for Remote / Work from Home Opportunity *
• Department: MAC Clinical Services
• Job Grade: N11
• As a condition of employment physical work location must be in one of the 50 states or the District of Columbia.
• Notice of Collection & Privacy Policy for Applicants Residing in California: California Applicant Privacy Policy | Noridian (noridiansolutions.com)
• Job Title
• Clinical Services Operations Specialist
• The Operations Specialist provides support services within departments and/or teams. The position conducts research, prepares, updates, and maintains electronic records using computer systems.

Responsibilities

• Accurately prepares and/or processes electronic records to and from workflows by verifying, entering, organizing, sorting, and routing to appropriate locations.
• Conducts research to resolve unique and complex errors or issues with records and/or systems.
• Communicates with others based on research findings.
• Provides guidance to others based on research findings.
• Monitors, tracks, and/or communicates workload status to appropriate staff.
• Creates and/or processes incoming and/or outgoing communication.
• Cross trains to multiple functions or workloads.
• Prioritizes functions or workloads depending on business need and/or direction.
• Collaborates and communicates with peers and leaders.
• May process live claims using applicable computer systems.
• May contact customers to obtain, clarify, or provide information through phone, email, fax, or other communication methods.
• May mentor and/or train peers and may assess review accuracy/quality of peers.
• May be assigned other special projects and/or assignments.

Requirements

• High school diploma or GED
• 1 year clerical experience
• Experience working in multiple computer systems at one time
• Strong computer experience
• Microsoft Office experience
• Strong written and verbal communication skills
• Education
• General Ed Diploma or better in Other.
• High School or better in Other.
• 2 years’ clerical experience
• 1 year Noridian Healthcare Solutions experience
• Healthcare/healthcare administration experience
• Government or private insurance experience
• 10-key proficiency
• Strong research, analysis, and organizational skills
• Strong prioritization skills
• Strong problem-solving skills
• Strong attention to detail

Skills

Required

• Strong computer experience
• Microsoft Office experience

Preferred

• 10-key proficiency
• Strong prioritization skills
• Strong problem-solving skills
• Strong attention to detail

Benefits

• Health, Dental and Vision Insurance, Voluntary Insurance Plans, Health Savings and Flexible Spending Accounts, 401k and Company Match, Company-paid Life Insurance, Education Assistance Program, Paid Sick Leave, Paid Holidays, Increasing PTO Accrual Plan, Medical/Parental/Disability Leave, Workers Compensation, Retiree Benefits, Severance Package, Employee Assistance Program, Financial and Health Wellness Benefits, Casual Dress, Open Office Setting, and Online Learning System.
• Below is the salary range for potential new hires.
• Salary Range: The pay range for this position is $15.66-$20.61 / hourly, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
• Other Compensation: Incentive Plan & Lifestyle Benefit