Clinical Support Coordinator
Clinical Support Coordinator
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1 Vacancy
Job Description
About this job:
PartnerRe Ltd. is a leading global reinsurer providing multi-line risk management solutions around the world. Risks reinsured include property casualty motor agriculture aviation/space catastrophe credit/surety engineering energy marine specialty property specialty casualty multiline and other lines mortality longevity health and alternative risk products.
PartnerRe Health the global Health Division of PartnerRe is an acknowledged leader in providing risk management solutions to accident and health markets. The PartnerRe team of experienced professionals develops innovative client-specific solutions by thoroughly understanding our clients goals market risk tolerance and exposures. Using a suite of proven proprietary financial and analytical tools an effective risk management program is designed with extensive support services.
PartnerRes PULSE Plus Medical Management Program is an integrated state-of-the-art program that partners with our clients to proactively manage healthcare risk exposures and find optimal solutions for evolving healthcare challenges. PULSE Plus Medical Management helps optimize both clinical and financial outcomes through a wide range of value-creating services that enhance risk protection at multiple levels. Program features include:
- 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
About the role:
The Clinical Support Coordinator plays a vital role in supporting the day-to-day operations of the PULSE Clinical Consulting Team. This position is responsible for managing referral workflows triaging the team inbox responding to client and network inquiries and ensuring accurate documentation across systems. The role also involves conducting an initial review of high-cost claim notifications and other case alerts to help prioritize and route cases for clinical consultant follow-up. As a key support resource this position helps streamline processes enabling the clinical consultants to focus on delivering strategic clinical insights and cost containment solutions to clients and partners.
JOB DUTIES
The following reflects managements definition of essential functions for this position but does not restrict the responsibilities that may be assigned. Management may assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.
- 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 teams success
Qualifications :
QUALIFICATIONS:
Computer Skills
- 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.
Required Qualifications
- Associate or bachelors 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
Preferred (Nice to Have) Qualifications
- 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)
Personal attributes / Common culture:
- 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
Additional Information :
#LI-Hybrid
PartnerRe provides a working environment in which diversity is valued where all employees feel welcome respected and empowered to perform at their best. We invite you to learn more about D&I at PartnerRe.
Thank you
PartnerRe Hiring Team
Remote Work :
No
Employment Type :
Full-time
Employment Type
Full-time
