Review Assistant/Admin Assistant.
Our Client, a Leading Provider of Healthcare Delivery Systems and Solutions company, is looking for a Review Assistant/Admin 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 uphold a comprehensive understanding of internal policies, procedures, and services, ensuring adherence to organizational standards. • Provide 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 prompt submission of all administrative-related documents to relevant parties. • Act as a liaison with internal and external customers, fostering positive and professional relationships to facilitate an effective review process. • Attend training and scheduled meetings, maintaining up-to-date information for case preparation. • Uphold medical records confidentiality through proper use of computer passwords and secured files, adhering to HIPAA policies. • Answer calls and demonstrate proper telephone etiquette and communication skills in alignment with client policies, procedures, and guidelines. • Cross-train to perform duties of other contracts within the clientg network, contributing to a flexible workforce to meet client/consumer needs. • Fulfill other assigned duties to meet contract deliverables and organizational requirements. • Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. Requirements: • High school diploma or GED equivalent. • Associate degree preferred and/or equivalent work experience related to medical, behavioral, or social/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 healthcare. • Comprehensive knowledge of office environments and business processes. • Understanding of a customer service approach tailored for medical provider stakeholders. • Familiarity with government structures and related programs is advantageous. • Excellent communication skills. • Ability to multitask, prioritize, and provide service to a diverse range of customers. • Experience in development and project activities. • Experience in staff and provider training, with preferred public speaking skills. • A proactive approach to continually assess office functions and report potential issues to the Director. • Capability to track provider issues and report them appropriately. • Willingness to learn the Atrezzo application and assist customers in resolving technical issues related to the submission of Health Homes authorization requests. • Proficiency in Microsoft Office applications and Excel, ensuring efficient utilization of essential software tools. • Technical (computer use), Ability to perform 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 growth and advancement opportunities As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws. Remote Benefits: Employee Referral Program, Medical, Dental and Vision, 401K, Life Insurance About the Company: Iconma ICONMA is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries. • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide. • Certified Woman-Owned Business Enterprise (WBE); certified by Women’s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC). • Founded in 2000 • 2000+ Employees The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage. Company Size: 2,000 to 2,499 employees Industry: Management Consulting Services Founded: 2000 Website: Apply tot his job