Note: The job is a remote job and is open to candidates in USA. BAC Enterprises provides innovative services and opportunities for persons with disabilities to achieve personal success. The Clinical Services Operational Specialist provides operational and administrative support, including processing electronic records, researching workflow issues, tracking workloads, managing communications, and processing live claims using applicable computer systems.
Responsibilities
- Accurately prepares, verifies, enters, organizes, sorts, routes, and processes electronic records to and from assigned workflows
- Conducts research to resolve unique or complex errors, record issues, workflow questions, or system-related concerns
- Communicates research findings, record status, and workflow information to appropriate staff, peers, and leaders
- Provides guidance to others based on research findings, established procedures, and business needs
- Monitors, tracks, and communicates workload status to appropriate personnel
- Creates, receives, processes, and routes incoming and outgoing communications
- Cross-trains and supports multiple functions or workloads as assigned
- Prioritizes functions and workloads based on business needs, deadlines, and direction from leadership
- Collaborates and communicates effectively with peers, leaders, and internal stakeholders
- Processes live claims using applicable computer systems, as assigned
- Mentors or trains peers, as assigned
- Performs other duties, special projects, and assignments as required
Skills
- • High School Diploma or equivalent
- • Minimum of one (1) year of clerical or administrative support experience
- • Ability to work accurately in multiple computer systems at one time
- • Strong computer skills, including Microsoft Office applications
- • Strong written and verbal communication skills
- • Ability to research, analyze, and resolve record or workflow issues
- • Ability to organize work, prioritize assignments, and adapt to changing business needs
- • Ability to maintain confidentiality and handle sensitive information appropriately
- • Ability to collaborate effectively with peers, leaders, and internal stakeholders
- • Strong attention to detail and commitment to quality
- No overnight or out-of-area travel is expected for this position. Local movement within local sites will be required to support inspections, meetings, incident response and contract operations
- Employees must be able to perform the essential physical requirements of the position, with or without reasonable accommodation, for extended periods of time
- • Sitting or standing for extended periods while performing computer-based work
- • Using hands and fingers for keyboarding, data entry, document review, and other office tasks
- • Viewing computer screens, reports, electronic records, and other written materials for extended periods
- • Communicating verbally and in writing with supervisors, coworkers, customers, and other stakeholders
- • Lifting, carrying, or moving standard office materials and equipment weighing up to 25 pounds
- Requires visual acuity, manual dexterity, concentration, attention to detail, and the ability to read, review, enter, and verify information accurately using computer systems
- Candidates must reside 55 miles away from Rockledge Florida
- Schedule: Monday-Friday (shift times between 8 am and 8 pm)
- • Experience supporting healthcare, claims, records processing, customer service, or government contract operations
Benefits
- Full Time Remote
- Free medical, dental, and vision insurance for employees, and a buy-up option is available.
- Medical opt-out plan is available for qualified employees.
- Paid holidays and sick time.
- Paid vacation is available after one year of employment, based on the number of hours worked
- Full-time employees are eligible to participate in the 401k plan on the first of the month following their date of hire.
- Additional Supplemental benefits are available, including Accident, Critical Illness, Short Term Disability, and Hospital.
- Employee Assistance Program.
Company Overview