Sr. Admin-Appeals
2 weeks ago
Job Title : Sr. Admin-Appeals
Location : Remote
Duration : 6 months+ with possible extension W2 contract.
Pay rate: $16.20/Hr. on W2
Shift : 10AM ET -6:30PM ET / 9AM CT- 5:30PM CT / 8AM MT – 4:30PM MT / 7AM PT -3:30 PM PT - Monday through Friday.
Position Overview:
Sr. Administrative role is fully remote opportunity for an experienced professional who provides essential support to programs as a subject matter expert. Responsibilities encompass a wide range of administrative tasks, ensuring the smooth functioning of day-to-day program operation and requirements, exceptional attention to detail in a fast-paced work environment with the ability to work independently.
Responsibilities:
· Assist with daily clerical tasks with an ability to prioritize workflow.
· Provide verbal decisions, appeal acceptance, request medical records from health plans and representatives through phone.
· Monitor and maintain high volume workflow through an email shared mailbox, fax and mail.
· Receiving and sending professional communications to members, representatives, health plans, clients in a timely manner.
· Collect, analyze and input incoming and outgoing data to ensure security of PHI/PII.
· Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other procedures of the position.
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