Clinical Assistant needs 1 years experience in a customer service support role is required Clinical Assistant requires: • Possible COVID-19 vaccine mandate. • Customer service support role is required • Certifications • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. • Proficient interpersonal and organizational skills • Independent, Sound decision-making and problem-solving skills • Healthcare environment • Provider reimbursement methodologies, ICD-9-CM, CPT, HCPCS and UB-92 coding, UHDDS coding guidelines, AHA Coding Clinic • Must be able to work in an independent and creative manner. • Self-motivated and able to manage multiple tasks and set priorities. • Effective time management skills • Excellent oral and written communication skills • Strong interpersonal and organizational skills • Knowledge in Medical terminology • Various immunizations and/or associated medical tests may be required • Clinical Assistant duties; • Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education. • Conduct educational telephone calls advising members of available benefits, services and programs; completes health needs assessment, and refers members to population health management programs as appropriate. • Reach out to members with identified gaps in care; encouraging and motivating them to become compliant; offering assistance in locating providers and appointment scheduling. • Manage system work queues; screening identified members for eligibility, prior case activities, recent claims, customer service inquiries and authorization history; assigning members to clinical team for call outreach and intervention. • Facilitate research and analysis of inquiries and/or complaints related to processes and designations, member lost incentives, and other program related inquiries • Work overtime as needed