Lead Administrative Specialist

2 months ago

New Providence, United States PromptCare Companies Inc Full time
Job DescriptionJob DescriptionDescription:

PromptCare is seeking a highly motivated and experienced Lead Administrative Specialist will oversee the Re-auth, Re-Cert CMN staff and administrative support staff and their corresponding processes. If you would like to learn more about our company, please visit us at PromptCare In-home Respiratory and Infusion


Reports to: Departmental Lead, Supervisor or Manager

Job Type: Full-Time, 40 hours per week, hybrid, flexible schedule eight (8) hour shifts during the hours of 7:00am-5:30pm

Job Location: New Providence, NJ

Requirements:
  • High School Diploma. Associates preferred
  • Experience in medical office, patient contact and related experience
  • Excellent oral and written communication skills are required to communicate with colleagues, management, patients, and physician office
  • DME background is preferred
  • Medical Reimbursement background is preferred
  • Appropriate computer skills for the position (Microsoft Office Suite) and areas of influence, Brightree experience is preferred
  • Strong work ethic with attention to detail and quality, is required
  • Ability to identify and address problem accounts is required
  • Solid knowledge of CMN, authorizations processes


Job Responsibilities, included but not limited to:

  • Assist the team with day-to-day issues and problems, escalating in a timely manner as necessary to ensure resolution
  • Manage assigned workflow
  • Participate in projects or process updates as they relate to improving key outcomes
  • Identify deficiencies and work to improve them through collaboration within the team and with other departments
  • Work collaboratively utilizing the tools and reports provided, ensuring staff compliance with internal and external policies, and providing consistent feedback through QA reviews.
  • Ensure staff meets quantity requirements while also maintaining quality
  • Work collaboratively with other departments staff such as AR Specialist and Supervisors to ensure timely collections or resolution of issues
  • Ensure timeliness of authorization submission and/or CMN submission to ensure that held revenue remains below established threshold and there are minimal bad debt write offs
  • Prepare reports and do analysis to ensure proper workload distribution
  • Escalate issues, communicate changes in payer rules that affect reimbursement or require changes in current processes
  • Provide training and re-training for staff as necessary
  • Provide timely and regular feedback to staff on processes, compliance, and performance


Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. Requires the ability to lift files, open filing cabinets and bend or stand as necessary. This position requires the ability to occasionally lift office products and supplies of 20 pounds but no more than 35 pounds.


Benefits & Perks

  • Competitive Salary
  • Medical, Dental, Vision Package
  • 401(k) plan (discretionary)
  • PTO - Vacation, Sick and Personal days, and paid holidays
  • Referral bonuses & Discount Ticket Program
  • Lunch & Learn Programs
  • Employee Recognition Program


Equal Employment Opportunity

The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.


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