Adecco Healthcare & Life Sciences is looking for a **Clinical** **Administrative Coordinator** for our client in Texas! This role is telecommute/remote and must reside in Texas **Type:** 3- month contract, with potential for extension **Schedule:** 8 hours a day with 1 hour lunch and two 15-minute breaks. 5 days a week, weekends and holidays included. Must be able work a flexible schedule that include evenings. **Location:** Remote / work-from-home – Must be in Texas **Pay:** $21-22.35/hour **Responsibilities of the Clinical Administrative Coordinator:** · Correspondence UM Coordinator is responsible for handling customer service or provider calls as needed. · Coordinates UM processes with Medical Directors, UM Nurses, hospitals, physicians and other various departments. · Correspondence UM Coordinator is responsible for providing clerical support to clinical staff for their medical necessity review process. · Correspondence UM Coordinator is expected to maintain production and quality standards. · Provides data entry, filing, tracking time frames and status of case files and mailing letters to patients and providers · Reviews denials and determines whether the decisions are retro/claims DOS or prospective DOS, and whether they are NCB or medically necessary · Monitors system approval queues and prints member letters, ensuring that all approvals are printed and mailed by end of business day · Prepares envelopes and letters for mailing according to the UM policy · Receives appeal requests from health plans and/ or QIO, logs request, researches and provides requested information · Works with claims department to redirect claims related appeal requests · Generates reports for analysis by department using the data entry system · Assists with CMS organization determination reports as needed **Qualifications for the Clinical Administrative Coordinator:** · High school diploma or GED equivalent · 2+ years of related experience · Sound knowledge of medical terminology · Proficient software computer skills **Why work for Adecco?** · Excellent Weekly Pay discussed during screening · 401(k) Plan · Skills Training · Excellent medical, dental, and vision benefits Benefit offerings include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and 401K plan. Our program provides employees the flexibility to choose the type of coverage that meets their individual needs. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. **IMPORTANT:** This **position** is being recruited for by Adecco’s Healthcare and Life Sciences division, not your local Adecco Branch Office. For opportunities available at Adecco Healthcare and Life Sciences go to https://www.adecco.com/en-us/employers/industries/healthcare-life-sciences Equal Opportunity Employer/Veterans/Disabled. To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit http://www.adeccousa.com/candidate-privacy/. The Company will consider qualified applicants with arrest and conviction record **Pay Details:** $21.00 to $22.35 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair Chance Ordinance + Los Angeles County Fair Chance Ordinance for Employers + San Francisco Fair Chance Ordinance