Job Title: Clinical Administrative Coordinator
Pay Rate: $20/hour
Job Type: Full-Time
Schedule: Monday–Friday | 9:30 AM – 6:00 PM
Work Environment: Remote / Telecommute
Contract to Hire: 01/12/2026 to 06/30/2026
Position Overview
The Clinical Administrative Coordinator supports Behavioral Health and Substance Use Disorder Utilization Management by validating eligibility, preparing authorization requests, managing documentation, and ensuring accurate communication with providers and members. This role requires strong attention to detail, excellent communication skills, and the ability to apply clinical knowledge to authorization guidelines. The coordinator also assists with escalated calls, maintains confidentiality, and supports internal teams with accurate documentation and workflow management.
Key Responsibilities
Verify eligibility for all provider and member authorization requests
Enter and prepare Behavioral Health and Substance Use Disorder authorizations for multiple lines of business
Refer members to Care Coordination for aftercare planning support
Notify providers of authorization determinations
Facilitate peer-to-peer consultation offers when cases do not meet criteria
Draft denial letters outlining decisions and alternative treatment options
Assist callers routed to the Behavioral Health UM department
Complete required training (e.g., MCG, ASAM, InterQual)
Manage incomplete authorization requests and gather missing information
Take detailed meeting notes and distribute to appropriate teams
Provide benefit, safety, and coverage information to providers and consumers
Maintain strict confidentiality of PHI
Handle escalated calls and resolve complex issues
Upload and verify Release of Information documentation
Organize and track authorization requests
Ensure use of the most up-to-date member handbook guidelines
Support audit preparation by creating bookmarks and correcting report errors
Enter Single Case Agreements into the EHR and notify appropriate teams
Maintain and update job aids
Perform additional duties as assigned
Required Qualifications
High School Diploma or GED
2+ years of experience analyzing and resolving customer issues
2+ years of experience in the healthcare industry
2+ years working with medical or behavioral health terminology
Intermediate computer proficiency (EHR navigation, email, online research, data entry)
Ability to work a Mountain Time schedule
A quiet, secure home workspace suitable for handling PHI
Residency in the United States
Ability to obtain or maintain a company-approved high-speed internet connection
Preferred Qualifications
6+ months of experience with electronic medical records (EMR)
Experience in the Colorado healthcare market
Previous remote work experience
Prior data entry experience
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