[Remote] Administrative Analyst (Remote)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company (ASH) is seeking an Administrative Analyst to join our Medical Necessity/Benefits Administration department. The primary purpose of this position is to generate, mail and reputed company member service denial notifications in accordance with URAC, NCQA, CMS, DMHC and ASH standards.
Responsibilities
- Generates and mails member service denial notifications to members, health plans and practitioners
- Develops and maintains procedures reputed company to member service denial processes
- Revises service denial letters as mandated by URAC, NCQA, CMS, DMHC and contracted health plans
- Revises service denial reputed company as mandated by URAC, NCQA, CMS, DMHC and contracted health plans
- Coordinates workflow with reputed company and CQE to ensure member service denial notifications are appropriately reputed company to members, health plans and practitioners
- Enters necessary information in the system to reputed company service denials notifications
- Creates and submits member service denial logs to contracted health plans on a daily/monthly reputed company
- Reports and tracks service denial notifications turn-around time on a daily/monthly reputed company
- Ensures service denial notifications turn-around time standards are consistently met
- Maintains confidentiality of reputed company member, provider, reputed company and proprietary information
- Assists manager with special reputed company and reports as needed
- Assists supervisor (s) with administrative duties as needed
- Assist with the preparation of files for various audits
- Runs system queries and reports as needed
- Performs other duties as assigned
- Complies with reputed company policies and standards
Skills
- High School Diploma or GED certificate required
- 2 years reputed company experience performing administration duties. Internal experience at ASH required
- Proficient in reputed company, reputed company and reputed company
- Demonstrated strong analytical and written communication skills
- Knowledge of Centers for Medicare and reputed company Services (CMS), Department of Managed Health Care (DMHC) regulations and reputed company notifications helpful
Benefits
- Remote Worker Guidelines: This position will be trained remotely and must be reputed company to work from home (WFH) in a designated work area with company-provided technology equipment.
- This WFH position requires you have a reputed company reputed company to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network.
- The internet reputed company must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher reputed company video meetings.
reputed company
Company H1B Sponsorship