Remote opportunity to support a managed care company in a administrative capacity.
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Administrative Assistant
in Healthcare ContractJob Detail
Job Description
Responsibilities:
- Receives and reviews medical documentation and verifies documents are thorough and complete. Provides outreach to medical offices and sends fax communications as needed.
- Coordinates completion of authorization for UAS Assessments with vendors and ensures regulatory requirements are met.
- Participates in planning activities with Case Management Team to ensure services are in place and communicates with vendors to problem solve issues causing barriers in services.
- Organizes administrative processes to expedite approvals for membership in caseload.
- Provides appropriate follow up for submission of necessary documentation to authorize services. Follows up with vendors, members and case managers as needed.
- Has strong working knowledge of regulatory standards and compliance requirements regarding Long Term Services and Supports.
- Manages the LTSS phone queue while handling multiple assignments simultaneously.
Requirements:
- Two years administrative office experience required.
- Two years' experience in Healthcare, health insurance or managed care strongly preferred.
- Strong interpersonal skills to communicate with members, providers and cross- departmental teams.
- Demonstrated knowledge of Microsoft Suite including Outlook, Word, Excel, SharePoint and Teams.
- Excellent verbal and written communication skills.
- Detail oriented with strong organizational and time management skills.
- Ability to work independently and prioritize multiple assignments.
- Bilingual (Spanish speaking) excellent telephone/communication skills.
Required skills
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