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Blue Shield of CA

Clinical Services Coordinator, Intermediate

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Job Description

Clinical Services Coordinator, Intermediate Blue Shield of CA United States, California, El Dorado Hills 4205 Town Center Boulevard (Show on map) Aug 20, 2026 Your Role The Medical Care Solutions Federal Employee Program team provides prior authorization and utilization management services to our members. The Clinical Support Coordinator will report to the Operations Management Supervisor. In this role you will be responsible for answering a high-volume of inquiry calls, and advising or requesting from doctor's offices if prior authorization is required for a given service. You will also receive and process admits from hospitals when members are admitted to a facility as well as processing prior authorization fax requests. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow
  • personally, professionally, and financially.
We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a high school diploma or equivalent Requires at least 3 years of prior relevant experience preferably including answering a large volume of inbound calls Strong attendance record preferred Solid technical skills
  • ability to navigate MS programs and learn in-house software Sharp communication and teamwork skills Preferred
  • experience within FEP using AuthAccel Preferred
  • experience with medical coding
  • CPT/Dx Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.