Clinical Coordinator

Description

Clinical Coordinator Job Description for Advocare Pediaplace Pediatrics  

Summary/Objective: Responsible for ensuring the office runs efficiently by completing or delegating necessary tasks and following up to confirm completion.

This individual serves as a vital link between clinical staff, billing and management, helping to maintain compliance, streamline workflows, and enhance patient outcomes through accurate documentation and proactive quality initiatives. 

Essential Functions: (This list may include but is not limited to the following assigned duties) Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Administrative Duties and Clinical Duties 

• Communicate with management about all concerns regarding staffing, schedule, and workflow. 
• Train new staff as needed. 
• Cover Front Desk and Medical Assistant positions as needed.
• Complete value-based work and campaign outreach as needed. (Non-compliant patients, call no show list monthly to reschedule, explain no show policy and same day reschedule policy) 
• Ensure DCP&P paperwork and other record requests are sent for completion by Sharecare. 
• Schedule monthly vaccine inventory review to ensure proper documentation and NJIIS data flow 
• Assist the vaccine coordinator as backup vaccine coordinator as needed 
• Responsible for doing and/or delegating the Buckets Ex: Faxes, Consult notes, RTO’s, data correction.
• Complete or delegate forms, prior authorizations (physicals, asthma action, heating and cooling etc.) 
• Screen the cases in the doctor’s bucket in case more information is needed for the doctor to act on the case. (ex. Patient needs a refill. Review the request. Are they due for a refill? Is the specific medication identified? Are the patients due for a follow up? Are they already scheduled? 
• Oversee chart prep for complicated, medically fragile patients.
• Complete training and ensure prior authorizations are sent.  
• Update new patient history as needed. 
• Oversee the duplicate chart list and merges 
• All clinical duties must be performed in accordance with applicable state laws, professional scope-of-practice requirements, and the employee's training, qualifications, and authorized responsibilities. 

Benefits

Advocare, LLC offers a competitive salary and robust benefits package, including multiple medical and dental plans, vision, Health Savings Accounts (HSAs), flexible spending accounts, 401(k) retirement plan, paid time off, and more.
Employee Health Benefits

• Medical and Rx
• Dental
• Vision
• 401K Employer Match
• Flexible Spending Accounts (FSA)
• Health Savings Account (HSA)
• Voluntary Hospital Indemnity
• Voluntary Term Life and AD&D
• Voluntary Short-Term Disability
• Long-Term Disability
• Voluntary Critical Illness,
• Cancer, and Accident Insurance
• MetLife Auto/Vehicle & Home
• Insurance Discounts

Requirements

Required Education and Experience: 

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, billing, or related field preferred. 
• Certified, Registered Medical Assistant required 
• Experience working with quality measures or value-based care initiatives strongly preferred.