Blue Shield of California · 1 day ago
Clinical Services Coordinator, Intermediate
Rancho Cordova, CA, United States
Full-time
Hybrid
Mid Level
$21.73/hr - $30.43/hr
3+ years expBlue Shield of California is a nonprofit organization dedicated to transforming healthcare. The Clinical Services Coordinator, Intermediate, will ensure timely communication of member and provider notifications, manage internal reports, and handle returned mail items to support outpatient pharmacy benefit inquiries.
Financial ServicesHealth InsuranceNon Profit
No H1B
Responsibilities
Make sure all member and provider notifications are sent to Members/MD offices in a timely manner after Prior Authorization cases have been decided
Ensure all notifications are completed within turn-around times to meet compliance
Run, sort and filter daily internal reports for manual outreach
Make outbound calls to BSC members and providers related to decisioned Prior Authorization request
Process returned mail items in-office
Qualification
Required
Requires a high school diploma or equivalent GED
Requires 3 years of relevant experience
Demonstrated ability encompasses basic understanding of internal procedures and policies needed to ensure effective execution of assigned tasks
Ability to multi-task, set priorities, and manage time effectively
Strong phone and verbal communication skills along with active listening
Company
Blue Shield of California
Blue Shield of California is a health insurance service provider.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Gary Culp
Senior Vice President, Government Markets
Gregory Siebert
Senior Vice President Provider Partnerships & Network Management
Recent News
Fierce Healthcare
2025-12-15
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