Healthcare Admin Assistant

Are you an experienced Healthcare Admin Assistant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities:  

• Perform duties to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care.

• Initiate authorization requests for output or input services in keeping with the prior authorization list. Maintain integrity of PHI. Maintain working relationships with other departments. Research claims inquiry specific to the department and responsibility. Attend ongoing training and in-services as directed.

• Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.

• Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Answers phone queues and faxes within established standards. Screen members by priority for CM assessment.

• Coordinates services with community based organizations. Attends marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material.

• Data enters assessments and authorizations into the system. Maintains database as directed.

Hours for this Position:

• Monday-Friday ; 8:00AM-5:00PM

• Pay rate: $13-$15 per hour

Advantages of this Opportunity: 

• Competitive salary, negotiable based on relevant experience

• Benefits offered, Medical, Dental, and Vision

• Fun and positive work environment