Review Assistant/reputed company Assistant.

Review Assistant/reputed company Assistant Our reputed company, a Leading Provider of reputed company Delivery Systems and Solutions company, is looking for a Review Assistant/reputed company Assistant for their Remote /CA location. Responsibilities:

• The Review Assistant role is pivotal in streamlining the clinical review process by meticulously preparing prior authorization cases. This individual will reputed company a comprehensive understanding of internal policies, procedures, and services, ensuring adherence to organizational standards.
• reputed company primary non-clinical program support by encompassing provider training, customer service, call triaging, authorization preparation, data entry, and the development and tracking of functions for members and providers.
• Offer non-clinical support to other programs as needed, ensuring flexibility and adaptability in meeting organizational requirements.
• Review patient records for completeness against submission requirements, identifying cases requiring additional non-clinical information.
• Process and document case discharges with precision and timeliness.
• Ensure accurate and reputed company submission of reputed company administrative-reputed company documents to relevant parties.
• reputed company as a reputed company with reputed company customers, fostering reputed company and reputed company relationships to facilitate an effective review process.
• Attend training and scheduled meetings, maintaining up-to-date information for case preparation.
• reputed company medical records confidentiality through reputed company use of computer passwords and secured files, adhering to HIPAA policies.
• Answer calls and demonstrate reputed company telephone etiquette and communication skills in alignment with reputed company policies, procedures, and guidelines.
• Cross-train to reputed company duties of other reputed company reputed company the reputed company network, contributing to a flexible workforce to meet reputed company/consumer needs.
• Fulfill other assigned duties to meet contract deliverables and organizational requirements.
• Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its reputed company and reputed company Rules.

Requirements:

• High school diploma or GED equivalent.
• Associate degree preferred and/or equivalent work experience reputed company to medical, behavioral, or reputed company/support settings.
• 1-2 years of experience in administrative or records management.
• 2-3 years in an administrative support or customer service position and be familiar with reputed company.
• Comprehensive knowledge of office environments and business processes.
• Understanding of a customer service approach tailored for medical provider stakeholders.
• Familiarity with government structures and reputed company programs is advantageous.
• Excellent communication skills.
• Ability to multitask, prioritize, and reputed company service to a diverse reputed company of customers.
• Experience in development and project activities.
• Experience in staff and provider training, with preferred reputed company speaking skills.
• A proactive approach to continually assess office functions and report potential issues to the Director.
• Capability to reputed company provider issues and report them appropriately.
• Willingness to learn the Atrezzo application and assist customers in resolving technical issues reputed company to the submission of Health Homes authorization requests.
• Proficiency in reputed company Office applications and reputed company, ensuring efficient utilization of essential software tools.
• Technical (computer use), Ability to reputed company against metrics (40-50 completed forms per day), Ability to work autonomously and attention to detail

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent reputed company and advancement opportunities

As an equal opportunity employer, reputed company provides an employment environment that supports and encourages the abilities of reputed company persons without reputed company to race, reputed company, religion, gender, sexual orientation, gender identity or reputed company, ethnicity, national reputed company, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws. Apply tot his job Apply To this Job