Administrative Data Entry- Professional experience in the medical field
Administrative and data entry role for the Utilization Review and Peer Review Department for Workers’ Compensation, Group Health & Disability; verifies and enters data in appropriate system(s); and provides general support to clinical staff, reviewing physicians, claims adjusters, and others in a team environment.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
• Uploading referral forms
• Entering new referral data
• Verifying client requirements
• Coordinating with nurses, physicians and clients
• Assigning new referrals and completing referral procedures
• Accessing, triaging and assigning cases for utilization review (UR)
• Responding to telephone inquiries from providers, claims adjusters, patients, and others as necessary
• Entering demographics and other information into claims or clinical management system and maintaining data integrity
• Obtaining all necessary information required for utilization review processing and case management from internal and external sources per policies and procedures
• Distributing incoming and outgoing correspondence, faxes, and mail; uploading review documents into paperless system as necessary
• General data entry, general data retrieval, general document and information retrieval, general business communication
• Participating in audits, accreditation, and other quality assurance functions
• Performing all job functions according to the related policies, procedures, instructions, laws, and regulations promulgated by the appropriate authority or the company
• Running reports
• Attending or assisting in training
• Supporting other units as needed
• Performing other duties as assigned
• Supporting the organization's quality program(s)
QUALIFICATIONS
High school diploma or equivalent.
• **** MUST have medical administrative experience******
• ****Work comp and UR experience preferred*****
Physical Activity
• Requires extended periods of sitting, phone work and data entry
Position Requirements
• High school diploma required, AA or BA degree preferred
• Possesses excellent customer service skills
• Ability to plan daily schedule and demonstrate good organizational skills
• Professional and effective communication skills, both verbal and written
• Competency in Microsoft Office, Excel, online database systems, and keyboarding
• Ability to work independently, analyze information and problem solve
• Good teamwork, organizational, decision making, and management skills
• Capable of multitasking and meeting timeframes
• Must be able to handle sensitive and confidential information with the highest degree of professionalism
· Must have an environment to work free of distractions, home office
Preferred Skills and Qualifications
• Previous professional experience in the medical field, healthcare, insurance claims, Workers’ Compensation, managed care, medical management, and/or utilization review
• Medical terminology
• Bill review experience
• We will only responded to your application if you need ALL of the requirements
Job Type: Full-time
Pay: $520.00 - $600.00 per week
Experience:
• UR or WC : 1 year (Preferred)
Work Location: Remote
Apply Now
Apply Now
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
• Uploading referral forms
• Entering new referral data
• Verifying client requirements
• Coordinating with nurses, physicians and clients
• Assigning new referrals and completing referral procedures
• Accessing, triaging and assigning cases for utilization review (UR)
• Responding to telephone inquiries from providers, claims adjusters, patients, and others as necessary
• Entering demographics and other information into claims or clinical management system and maintaining data integrity
• Obtaining all necessary information required for utilization review processing and case management from internal and external sources per policies and procedures
• Distributing incoming and outgoing correspondence, faxes, and mail; uploading review documents into paperless system as necessary
• General data entry, general data retrieval, general document and information retrieval, general business communication
• Participating in audits, accreditation, and other quality assurance functions
• Performing all job functions according to the related policies, procedures, instructions, laws, and regulations promulgated by the appropriate authority or the company
• Running reports
• Attending or assisting in training
• Supporting other units as needed
• Performing other duties as assigned
• Supporting the organization's quality program(s)
QUALIFICATIONS
High school diploma or equivalent.
• **** MUST have medical administrative experience******
• ****Work comp and UR experience preferred*****
Physical Activity
• Requires extended periods of sitting, phone work and data entry
Position Requirements
• High school diploma required, AA or BA degree preferred
• Possesses excellent customer service skills
• Ability to plan daily schedule and demonstrate good organizational skills
• Professional and effective communication skills, both verbal and written
• Competency in Microsoft Office, Excel, online database systems, and keyboarding
• Ability to work independently, analyze information and problem solve
• Good teamwork, organizational, decision making, and management skills
• Capable of multitasking and meeting timeframes
• Must be able to handle sensitive and confidential information with the highest degree of professionalism
· Must have an environment to work free of distractions, home office
Preferred Skills and Qualifications
• Previous professional experience in the medical field, healthcare, insurance claims, Workers’ Compensation, managed care, medical management, and/or utilization review
• Medical terminology
• Bill review experience
• We will only responded to your application if you need ALL of the requirements
Job Type: Full-time
Pay: $520.00 - $600.00 per week
Experience:
• UR or WC : 1 year (Preferred)
Work Location: Remote
Apply Now
Apply Now