Clinical Services Coordinator, Intermediate

3 days ago


California, United States Blue Shield of California Full time

About the Role

The Blue Shield of California team is seeking a skilled Clinical Services Coordinator, Intermediate to join our Children's Health Program (CHP) team. In this role, you will work closely with clinical staff to support member needs, utilizing established and approved medical policies and guidelines that align with nationally recognized standards.

Key Responsibilities

  • Process and manage authorizations, UM/CM requests, and other related tasks
  • Provide administrative support to Case Managers, including mailings, surveys, and data entry
  • Assist with research and eligibility/benefits verification for members and providers
  • Serve as the initial point of contact for members and providers, providing operational support and ensuring healthcare services are delivered efficiently
  • Process service authorization referrals and assist with system letters, requests for information, and data entry
  • Provide clerical support to medical management teams

Requirements and Qualifications

  • Strong communication and organizational skills
  • Ability to work in a fast-paced environment and prioritize tasks effectively
  • Knowledge of medical policies and guidelines
  • Experience with data entry and management systems

What We Offer

  • A dynamic and supportive work environment
  • Opportunities for professional growth and development
  • A competitive salary and benefits package


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