Clinical Services Operational Specialist

Job Description:

Peckham Inc. - Clinical Services Operational Specialist

Important Information:

Wage: $16.97 per hour plus a Health & Welfare benefit of $5.42 per hour

Shift: Monday - Friday, 8:00a.m. - 4:30p.m.

Location: Must be located in the state of Kentucky, USA

SUMMARY

The Clinical Services Operational Specialist (CSOS) provides operational support within assigned departments or teams by accurately processing and maintaining electronic records, researching and resolving complex record or system issues, and supporting effective workflow management. This position prioritizes and monitors workloads based on business needs, communicates research findings, and provides guidance to peers and other stakeholders as appropriate. The Operations Specialist collaborates with team members and leadership, cross-trains across multiple functions, processes communications and claims as needed, and may support peer training, mentoring, special projects, and other operational assignments.

DUTIES AND RESPONSIBILITIES

• Accurately prepare and/or processes electronic records to and from workflows by verifying, entering, organizing, sorting, and routing to appropriate locations
• Conduct research to resolve unique and complex errors or issues with records and/or systems
• Communicate with others based on research findings
• Provide guidance to others based on research findings
• Monitor, track, and/or communicate workload status to appropriate staff
• Create and/or process incoming and/or outgoing communication
• Cross train to multiple functions or workloads
• Prioritize functions or workloads depending on business need and/or direction
• Collaborates and communicates with peers and leaders
• Process live claims using applicable computer systems as needed
• Mentor and/or train peers as needed
• Accept other jobs/duties as assigned

MINIMUM QUALIFICATIONS

• High School Diploma or equivalent  
• At least 18 years of age
• U.S. Citizen  
• Proficient in the English language with oral and written communication skills sufficient to facilitate clear and accurate information exchanges with customers
• Ability to pass a thorough background check screening (credit and criminal history) to determine fitness for a federal security clearance
• 1-year clerical experience
• Computer and keyboarding skills sufficient to record information accurately and efficiently, with demonstrated proficiency in data entry and the ability to maintain focus and accuracy
• Ability to multitask, prioritize, problem-solve, and effectively adapt to a fast-paced environment
• Ability to take direction within a team setting, work independently, and meet quality and production standards
• High-speed wired (cable or DSL, not satellite) internet with minimum upload speeds of 5 Mbps and download speeds of 10 Mbps (documented proof required)
• A quiet, dedicated home office space that meets remote work requirements

PREFERRED QUALIFICATIONS

• Experience working in multiple computer systems at one time
• Strong computer experience
• Microsoft Office experience
• Strong written and verbal communication skills

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the individual will be required to multitask. The employee will also be required to:

• Speak, listen, read, and use a computer simultaneously during their scheduled shift

WORK ENVIRONMENT

Individuals are required to work independently while also contributing effectively as part of a team. The tasks of the call center are repetitive in nature. For remote work, employees must maintain a quiet, dedicated workspace that is free from distractions and suitable for professional customer interactions. The overall noise level is generally moderate in a typical work setting. The work environment characteristics described are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Individuals will be on the phone from their remote office for most of their scheduled shift. Peckham will provide a computer, monitor and headset and the employee will provide workspace and internet connectivity that meets minimum requirements.

SECURITY

Many positions within the Contact Center Solutions Division require a security clearance. Candidates must successfully pass and maintain all required security and background checks applicable to the position and/or contract. Background investigations may include, but are not limited to, criminal history and financial reviews. The level and scope of required clearance may vary by role. Employment is contingent upon successful completion and ongoing maintenance of all required security and background checks, which may be conducted at hire and on an ad hoc basis as required. All required security and clearance checks are completed at no cost to the candidate.

OTHER INFORMATION

This job description in no way states or implies all duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws.

Peckham is an Equal Opportunity Employer - EEO/AA Employer/Vet/Disabled. Peckham provides equal opportunities and does not unlawfully discriminate on the basis of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, height, weight, marital status, veteran status, or any other protected characteristic protected by applicable federal, state, or local law. EEO is Law

EOE-Embracing Diversity to Achieve Excellence

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Originally posted on Himalayas