Clinical Administrative Coordinator Resume Sample

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Nolan Farrell
395 Oberbrunner Via,  Philadelphia, PA
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Work Experience


Senior Clinical Administrative Coordinator
02/2017 - PRESENT
Los Angeles, CA
  • Conduct Onsite Appointment Scheduling
  • Provide face-to-face interaction with practice
  • Address any issues or concerns pertaining to the Member
  • Copy charts for services already rendered
  • Provide education to practices on the various member incentives offered for targeted services
  • Telephonic outreach including direct member and provider call 3-way appointments
  • Access the County of San Diego’s Electronic Health Record (EHR) System to conduct data entry of confidential client/patient information
  • Maintain compliance with turnaround times based on the member’s product, the type of request and the specific regulatory agency
Clinical Administrative Coordinator
07/2011 - 10/2016
San Francisco, CA
  • Create and process faxes and emails
  • Demonstrate flexibility, availability, and dependability to conform to position responsibilities.
  • Excellent computer skills with direct experience in Microsoft Office, Word, and Excel required.
  • Work in the Philadelphia office location, no telecommute. Able to multitask, work phone queue and project work for Special Needs Unit
  • Position requires ability to access the county’s electronic medical record
  • Manage administrative intake of members or the physician office for request of prior authorization
  • Faxing encounters to HBP’s
  • Referral processing for Outpatient services, including but not limited to Outpatient Surgeries, Rehabilitation Therapies, Radiation Therapy, Chemotherapy, Provider’s evaluations and Follow-up, Ancillary services, such as DME’s, HHC and Orthotics/Prosthetic devices
Tricare Clinical Administrative Coordinator
02/2008 - 05/2011
Philadelphia, PA
  • Pre-Authorization entering for Requests of services such as Clinical Evaluations/Follow-up visits, Outpatient procedures, Inpatient services such as: Elective Admissions, Emergency Room Admissions, Skilled Nursing facilities, Rehabilitation facilities, Outpatient services, Ancillary services, such as DME’s, HHC and Orthotics/ Prosthetic Devices in Diamond System, when applicable
  • Daily notification to PCP’S of Admissions Authorizations to Acute facilities. Authorization entering for Plan Members under the care of Dialysis and Hospice services
  • Process Denial Authorizations for non-coverage services for Medicare and Medicaid plan participant’s adherence to timeliness for determinations
  • Assisting with substance abuse and mental health disorder
  • Drafting of NOA/NOE letters for government and Commercial Specific clients and making outbound calls to client specific customers
  • Assembles patient’s electronic medical record accurately and completely and manages documents appropriately in CPR+
  • Documents patient related activities/information in the patient’s electronic medical record
  • Respond to incoming service coordinator calls / emails and resolve inquiries

Education


Herzing University - Atlanta
2002 - 2007
Bachelor's Degree in Healthcare

Professional Skills


  • Demonstrate strong excel skills and ability to gather and support data analysis, report writing and state reporting processes
  • Customer service experience analyzing and solving customer problems with great communications skills
  • Excellent problem solving and critical thinking skills to resolve complex healthcare issues
  • Strong analytical, problem solving and decision - making skills; ability to exercise good judgment
  • Demonstrate editing and technical writing skills
  • Strong communication skills, both written and verbal, enabling effective communication with patients and staff
  • Demonstrate organizational and problem solving skills

How to write Clinical Administrative Coordinator Resume

Clinical Administrative Coordinator role is responsible for customer, organizational, communications, excel, interpersonal, microsoft, reporting, typing, outlook, editing.
To write great resume for clinical administrative coordinator job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Clinical Administrative Coordinator Resume

The section contact information is important in your clinical administrative coordinator resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Clinical Administrative Coordinator Resume

The section work experience is an essential part of your clinical administrative coordinator resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous clinical administrative coordinator responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular clinical administrative coordinator position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Clinical Administrative Coordinator resume experience can include:

  • Typing skills (50+ wpm)
  • Prior experience with Microsoft Access and Microsoft PowerPoint (creating, editing)
  • Prior experience with Microsoft Access and Microsoft PowerPoint (creating and editing)
  • Skills with providing public sector customer service
  • Working experience using Microsoft Word and Microsoft Excel
  • Working experience with Medical Terminology to communicate with members and providers

Education on a Clinical Administrative Coordinator Resume

Make sure to make education a priority on your clinical administrative coordinator resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your clinical administrative coordinator experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Clinical Administrative Coordinator Resume

When listing skills on your clinical administrative coordinator resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical clinical administrative coordinator skills:

  • Excellent interpersonal skills - oral and written communication skills
  • Excellent attention to detail and strong organizational skills are essential to this role
  • Work frequently with a variety of internal and external customers requiring active problem solving and effective interpersonal skills
  • Experience using communications and interpersonal skills (internal/external customers)
  • Experience using organizational skills
  • Experience using communications and interpersonal skills (internal/external customers)

List of Typical Experience For a Clinical Administrative Coordinator Resume

1

Experience For Senior Clinical Administrative Coordinator Resume

  • Experience in a Customer Service environment (proven customer service skills and experience)
  • Demonstrate strong problem solving skills in data analysis
  • Experience using organizational skills
  • Excellent verbal and written communication skills along with the ability to work with a diverse group of people / disciplines at all levels of the organization
  • Prior auditing and coaching experience
  • Effectively engage members over the phone via both inbound and outbound that qualify for our programs
2

Experience For Associate Clinical Administrative Coordinator Resume

  • 6+ months of previous Prior Authorization experience
  • Prior Authorization and / or DME - Durable Medical Equipment experience
  • Prior Benefits verification knowledge / experience
  • Understand and effectively explain complex benefit plans
  • Data Entry Skills (65 WPM)
  • Providing excellent customer service internally and externally within a fast-paced environment
  • Experience working with Microsoft Word (creating, editing, saving documents) and Microsoft Excel (creating, editing, saving spreadsheets)
3

Experience For HIM Clinical Administrative Coordinator Resume

  • Work experience using Microsoft Excel (filtering, sorting, editing, saving spreadsheet)
  • Experience using Microsoft Office: Microsoft Word, Microsoft Excel, and Microsoft Outlook (creating, copying sending and saving)
  • Work experience using Microsoft Word (creating, editing, saving, and sending documents)
  • Work experience using Microsoft Excel (filtering, sorting, editing, and saving spreadsheet)
  • Any experience using Power Point - editing or creating presentations
  • Customer service experience doing outbound and inbound calls, analyzing and solving customer problems
  • Intermediate experience using a computer as the primary tool to complete daily task, including internet navigation and searching
  • Experience with Microsoft Excel (sorting, summing, creating bar graphs, vlookups, pivot tables, and formulas)
4

Experience For Tricare Senior Clinical Administrative Coordinator Resume

  • Experience working with Microsoft Excel (data entry, sorting, filtering, create tables / charts / graphs)
  • Solid understanding of Pharmacy claims processing systems, including ability to help pharmacies resolve rejected claims
  • Experience analyzing and solving customer problems
  • Experience working within the healthcare industry, hospital, physician's office or medical setting
  • Experience working in a Call Center environment taking Inbound Calls
  • Experience in one of the following: medical/clinical setting OR professional office environment OR call center environment
  • Experience using a computer and Microsoft Office including Word (create, edit, save), Excel (create, edit, save), and Outlook (send, receive, set appointments)
5

Experience For Tricare Clinical Administrative Coordinator Resume

  • Event planning or marketing experience within a matrix organization
  • Experience working within the healthcare industry, hospital, physician's office or medical setting and/or a call center environment
  • Experience using Microsoft Outlook or other email system (email management, folders, calendaring, and task function)
  • Experience using a computer and Microsoft Office including Word, Excel, and Outlook with the ability to create edit and save
  • Manage the referrals process, processes incoming and outgoing referrals, and prior authorizations
  • Establish and maintain effective working relationships with co - workers, supervisors, manager
6

Experience For Clinical Administrative Coordinator Per Diem Resume

  • Maintain manuals for procedures, reporting documentation and the daily flow of documents needed for effective screens
  • Validate data collected by utilizing quality assurance reports to reflect operational excellence
  • Constantly meet established productivity, schedule adherence and quality standards while maintaining good attendance
  • Education to help simplify the healthcare system and validate members understanding of next best actions
  • Data entry experience with a typing speed of at least 45-50 WPM
  • Medical Terminology and Coding (ICD - 10 and CPT) experience
7

Experience For Clinical Administrative Coordinator Resume

  • 6+ months of experience working with healthcare insurance
  • Experience working with NY Medicaid
  • Demonstrated understanding of fundamental health - care related terminology, programs or services
  • Experience reviewing medical documentation
  • Previous experience generating adverse determination letters
  • Medical and / or behavioral claims processing or claim research experience
8

Experience For Senior Clinical Administrative Coordinator Resume

  • Experience with ICD-10 / CPT coding
  • Experience working with ICD-9 / ICD-10 and CPT codes
  • Meet established productivity, schedule adherence, and quality standards while maintaining good attendance
  • High volume experience using computers
  • Experience working with Medicare / Medicare Part B and D and/or Medicaid Services
  • Experience working in the health care industry
  • Experience working with medical terminology
  • Experience working with health care insurance
9

Experience For Associate Clinical Administrative Coordinator Resume

  • Experience in a hospital, physician's office or medical clinic setting
  • Clerical or administrative support background or experience working in a call center environment
  • Previous experience working with Microsoft Word, Microsoft Excel, and Microsoft Outlook (ability to create, copy, edit, send and save documents)
  • Experience working with MS Visio, PowerPoint and Project, with the ability to utilize them and create presentations as needed
  • Multi-task easily and handle shifting priorities
  • Previous experience working with high volume inbound calls
  • Experience working with ICD -10 and CPT codes
  • Experience working in a remote / virtual environment
10

Experience For HIM Clinical Administrative Coordinator Resume

  • Experience using Microsoft Word, Microsoft Excel, and Microsoft Outlook with the ability to create, edit, save, and send documents, spreadsheets and emails
  • Experience working in a mental health / substance abuse facility
  • Experience using MS Word, Excel, and Outlook with the ability to create, edit, save, and send documents, spreadsheets and emails
  • Medical claims processing and / or workers compensation experience
  • Experience working with Adobe Editor – add / delete documents, add signatures, add / delete pages
  • Experience working with Medicaid Service
  • Experience using Microsoft Word (create, edit, save, and send documents) and Microsoft Excel (create and edit spreadsheets, perform data entry)
  • Experience working with a PC and Windows applications with the ability to learn new and sometimes complex systems

List of Typical Skills For a Clinical Administrative Coordinator Resume

1

Skills For Senior Clinical Administrative Coordinator Resume

  • Strong telephonic and face-to-face communication skills and ability to work well with others
  • Strong analytical, communication and presentation skills required. An attention to detail and appreciation of deadlines is essential
  • Manage and prioritize multiple tasks efficiently and effectively
  • Excellent customer service skills and professional demeanor necessary
  • Experience using communications and interpersonal skills (internal/external customers)
2

Skills For Associate Clinical Administrative Coordinator Resume

  • Experience using organizational skills
  • Strong written and verbal skills with a customer service acumen
  • Excellent customer service, interpersonal, communication, and organizational skills
  • 25+ WPM typing / data entry skills
  • Prior experience in Health Care industry and HIPAA compliance workplace
  • Prior experience with Microsoft Access and Microsoft PowerPoint
3

Skills For HIM Clinical Administrative Coordinator Resume

  • Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests and identify the current and future needs of the consumer
  • Prior experience with Microsoft Access
  • Prior experience with Microsoft PowerPoint
  • Computer skills with the ability to navigate computer applications, send emails and complete data entry
  • Customer service experience OR 3+ years of experience in a hospital, physician's office or medical clinic environment
  • Be accurate and have timely data entry skills
  • Customer service experience or 2+ years of clerical/administrative experience
4

Skills For Tricare Senior Clinical Administrative Coordinator Resume

  • Working experience using a PC
  • Experience editing, updating, uploading, downloading and saving documents using a computer and various Microsoft Office (Word, Excel, and Outlook) programs
  • Previous experience working with Microsoft Outlook, Word and Excel (create correspondence, editing, performing data entry and maintaining spreadsheets)
  • Previous experience sorting, filtering, copying and pasting data into an Excel spreadsheet
  • Experience with processing or researching claims according to the standard operating procedures and job aids
5

Skills For Tricare Clinical Administrative Coordinator Resume

  • Previous experience working with Microsoft Word, and Microsoft Excel (create correspondence, editing, performing data entry, and maintaining spreadsheets)
  • Manage the referral process, processing incoming and outgoing referrals and prior authorizations, including intake, notification and census roles
  • Customer service experience doing outbound calls, analyzing and solving customer problems
  • Experience working with Microsoft Word, Excel, and Outlook. (SOP's, Unit calculation, processing authorizations - sending emails)
  • Experience working with Microsoft Word, Microsoft Excel, and Microsoft Outlook. (SOP's, Unit calculation, processing authorizations - sending emails)
6

Skills For Clinical Administrative Coordinator Per Diem Resume

  • Manage the referrals process, processing incoming and outgoing referrals, and prior authorization notifications
  • Experience working in a physician’s office or healthcare setting
  • 6+ months of experience in an office setting using the telephone and computer as the primary instruments to perform the job
  • Customer Service experience analyzing and solving customer’s problems
  • Previous experience applying fundamental health care, quality and auditing concepts, practices and procedures
7

Skills For Clinical Administrative Coordinator Resume

  • 6+ months of experience working in a Hospital, Physician's Office, or Medical Clinical setting
  • Professional experience working in a clinical setting responsible for administrator task
  • Experience working within the Healthcare Industry and utilizing Medical Terminology
  • Experience utilizing CPR+ computer charting software
  • Previous experience working with Microsoft Office including Outlook, Word, Excel, and PowerPoint
  • Experience working in Physician's office, or Medical Clinical setting
8

Skills For Senior Clinical Administrative Coordinator Resume

  • Experience analyzing and solving customer challenges
  • Professional experience in an office setting using telephone and computer as the primary
  • Experience working in a healthcare facility, medical office, hospital, or managed care setting
  • Advanced experience in Microsoft Excel (creating reports, filtering, formulas)
  • Previous experience working with Microsoft Office including Outlook, Word, and Excel (ability to create, edit, save, and send documents)
  • Previous experience working with and ability to create, copy, edit, send and save documents using Microsoft Word, Microsoft Excel, and Microsoft Outlook
  • Manages the Referrals process, processes Incoming and Outgoing Referrals, and Prior Authorizations
  • Demonstrate understanding of the program by selecting the correct letter template
  • Experience working with Microsoft SharePoint sites
9

Skills For Associate Clinical Administrative Coordinator Resume

  • Experience utilizing both web based software and DOS software
  • Strong aptitude for working in a production-driven environment and show great accountability for work output
  • 6 + months experience making Outbound Calls to Members
  • 2+ Experience working within the Healthcare Industry
  • Previous experience working with Microsoft Access databases
  • Medical Terminology/Coding (ICD-10 and CPT) experience
  • Experience working with ICD-9 / 10 and CPT codes
  • Experience working with Medicare and/or Medi-Cal Services
10

Skills For HIM Clinical Administrative Coordinator Resume

  • Experience using MS Office (Word, Excel, and Outlook)
  • Previous experience working with Microsoft Office Outlook, Word, Excel and Powerpoint
  • Experience working with ICD-9/10 and CPT codes
  • Administrative or clerical experience working with executives
  • Intermediate experience using Microsoft Office (Word, Excel, PowerPoint and Outlook)
  • Customer service experience and solving customer problems
  • Experience using a computer and Microsoft Office (Word, Excel & Outlook)
  • Experience working with ICD-9 / 10and CPT codes

List of Typical Responsibilities For a Clinical Administrative Coordinator Resume

1

Responsibilities For Senior Clinical Administrative Coordinator Resume

  • Work experience using Microsoft Excel (filtering, sorting, editing, and saving spreadsheets)
  • Working experience with Microsoft Word creating documents and Excel to create / edit spreadsheets and use formulas
  • Experience analyzing and solving customer problem
  • Establish and maintain effective working relationships with co - workers, supervisors, managers, stakeholders, and the general public
  • Professional experience working in or with a managed care organization
2

Responsibilities For Associate Clinical Administrative Coordinator Resume

  • Experience working with chronically ill patients
  • Experience with Medical Terminology and ICD-9 / ICD-10 Coding
  • Manage notifications and case validation using standard process documents
  • Verify eligibility and assist with preparing member visit packet 2-3 days prior to scheduled visit
  • Clinical experience as a Medical assistant, Certified nursing assistant in a facility or back or front office of a physician office or equivalent
  • Data entry experience with a typing speed of at least 45+ WPM
3

Responsibilities For HIM Clinical Administrative Coordinator Resume

  • Any experience using Facets
  • Experience with ICD - 9 and CPT Coding
  • Experience working with Preventative Services
  • Experience using a computer and Microsoft Word, Microsoft Excel, and Microsoft Outlook
  • Experience working with ICD - 9, ICD - 10, and CPT codes
4

Responsibilities For Tricare Senior Clinical Administrative Coordinator Resume

  • Prioritize and balance multiple demands and competing deadline
  • Experience working with community resources available to resolve non clinical service needs and quality of life issues
  • Medical and/or behavioral claims processing or claims research experience
  • Experience applying specific policies or standards to daily work to assure compliance with relevant
  • Experience using MS Office applications MS Word, MS Excel, MS Outlook and MS PowerPoint- with the ability to create, edit, save and send documents
  • Experience with using phone and computer as primary job tools
  • Experience in a hospital, Physician's office, medical clinic or nursing home environmen
  • Experience using a computer and Microsoft Office (Word, Excel, and Outlook) to create, copy, edit, send, and save documents
5

Responsibilities For Tricare Clinical Administrative Coordinator Resume

  • Cheduling experience
  • Experience scheduling Home Healthcare (HHC) and / or Durable Medical Equipment (DME) with a 3rd party
  • Experience handling confidential client / patient information
  • Experience working with a PC and windows applications, with the ability to learn other sometimes complex systems
  • Any experience working within the healthcare industry
  • Microsoft Excel experience with the ability to create and edit spreadsheets, using sort / filter functions, etc
  • Experience working within the healthcare industry, hospital, physician's office or medical clinic environment
  • Previous experience working with Lotus Notes
  • Knowledge or experience with Medical Terminology / Coding (ICD - 10 and CPT)
6

Responsibilities For Clinical Administrative Coordinator Per Diem Resume

  • Experience using a computer and Microsoft Office Word (create, edit, save) Excel (create, edit, save) Outlook (send, receive, set appointments)
  • Experience working with long-term care and Medicare and/or Medicaid Services
  • Experience using a computer and Microsoft Office (Word, Excel, and Outlook) with the ability to create, edit, and save
  • Experience working with Medicare and/or Medicaid
  • Experience working with Adobe Editor (add / delete documents, add signatures, and add / delete pages)
  • Experience using a computer and Microsoft Office (Word, Excel, and Outlook) with the ability to create edit and save
  • Experience working with Medicare and or Medicaid services
7

Responsibilities For Clinical Administrative Coordinator Resume

  • Professional experience in an office/customer service setting
  • Previous experience working with Microsoft Outlook (ability to create, edit, save, and send documents)
  • Previous experience working with Microsoft Word, Microsoft Excel, and Microsoft Outlook (ability to create, edit and save)
  • Previous experience working with Microsoft Outlook, Microsoft Word, and Microsoft Excel (ability to create, edit and save)
  • Experience working as a Pharmacy Technician
  • Related work experience in medical record handling
  • Experience using a computer and Microsoft Office (Word ( work within templates), Excel (filter, data entry) and Outlook (calendar Management, emails)
  • Previous experience working in a call center or contact center
  • Previous experience working with Microsoft Word, Microsoft Excel, and Microsoft Outlook (ability to create, copy, edit, send and save documents / emails)
8

Responsibilities For Senior Clinical Administrative Coordinator Resume

  • Assist member to negotiate conversion process with insurance broker (Maximus) to facilitate successful experience
  • Provide excellent Customer Service to both Providers
  • Handle inbound and outbound calls with an emphasis on excellent customer service in a call center environment
  • Assist members with medical and pharmacy benefits, medical plan overview, behavioral health inquiries, claims, provider search and prior authorization
  • Previous computer experience including, but not limited to, ability to learn new computer system applications
9

Responsibilities For Associate Clinical Administrative Coordinator Resume

  • Experience working with Healthcare Insurance
  • Operation experience in a healthcare / managed care setting
  • Prioritize and multi - task based on workload and business need
  • Data experience in an Administrative or Clerical Support role
  • Experience in a healthcare environment (Physician’s office, Hospital or Health Insurance) is required
  • Healthcare or Insurance Benefits experience
  • 6+ months of experience in a Clerical or Administrative role
  • 6+ months of Medicare experience
10

Responsibilities For HIM Clinical Administrative Coordinator Resume

  • 6+ months professional experience in clerical or administrator work
  • 6+ months Healthcare or Insurance Benefits experience
  • 6+ months with Medical Terminology experience
  • Previous experience Long Term Support Services
  • Experience in customer service or call center environment
  • Call center customer service experience (high volume)
  • Experience in a Healthcare Administrative role
  • Intermediate skill level with Microsoft Office Word, Excel and Outlook
  • Administrative/Clerical experience

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