Administrative Support Professional

7 days ago

Portsmouth, New Hampshire, United States Optima Dermatology Full time

About the Role

We are seeking an experienced Administrative Support Specialist to join our team at Optima Dermatology in Portsmouth, NH. As a key member of our Practice Support Center, you will provide critical support to our revenue cycle, provider support and credentialing teams.

Responsibilities

  • Manage accurate patient statements within our Electronic Health System and third-party vendor sites
  • Create statement files and upload them onto third-party vendor websites
  • Daily review of third-party vendor bad address files and update patients' accounts for the next statement cycle
  • Daily review of third-party vendor forwarding address files and update patients' accounts for the next statement cycle
  • Daily collection of returned patient statements from mailboxes and use skip tracing resources to locate current residential information, update patients' accounts for the next statement cycle
  • Maintain accurate provider and payer-related information
  • Serve as a liaison between our credentialing, provider, and revenue cycle teams, collecting, reporting, and tracking information for provider payer and plan participation
  • Submit all documentation needed to enroll providers timely to our credentialing team to expedite new and existing provider payer enrollments
  • Review and manage RCM payer participation documentation, ensuring information is always accurate and up-to-date
  • Keep meticulous records for provider plan enrollment, track detailed payer information related to participation status and renewal requirements, and deadlines
  • Submit all required information to maintain provider participation status with payers and plans ahead of schedule, avoiding any lapses in participation and claims processing
  • Keep meticulous records on all provider licensing and certifications, track all licensure and certification requirements, as well as renewal dates and re-enrollment deadlines
  • Work with the provider support team to gather all required forms, materials, including payment information, and submit them timely to avoid any license or certification lapses
  • Manage assigned tasks in our Electronic Health System
  • Daily review of outbound correspondence tasks, ensuring items are printed and mailed in a timely manner
  • Daily review of referral and authorization inquiries by verifying patient insurance coverage and eligibility for services
  • Consistently operate within and be measured on ability to build rapport, actively listen, follow up, and manage patient correspondence, internal and external communication, service, and support, critical thinking, planning, and problem-solving
  • Consistently achieve expected goals, including but not limited to completion of assigned daily activities, adherence to work schedule, practice management system, quality, and compliance
  • Work as a collaborative team member within a distributed organization, demonstrated by communicating effectively with leaders, providers, practice staff, and coworkers. Participate in team/staff meetings and maintain a positive attitude
  • Adhere to all HIPAA guidelines, comply with annual training
  • Demonstrate strong interpersonal skills, excellent written and verbal communication, and adhere to documentation expectations
  • Maintain compliance with attendance and punctuality requirements and all other policies outlined in the employee handbook
  • Other duties assigned by the supervisor, manager, or director

Requirements

  • High school diploma/GED required; some college preferred
  • Must be detail-oriented
  • Must be passionate about record-keeping and tracking dates and deadlines
  • Intermediate to master user of Excel and database programs
  • Knowledge of business administration preferred
  • Medical terminology and insurance industry terminology preferred
  • Intermediate understanding of and Explanation of Benefits preferred
  • Experience with ModMed or similar EMR preferred
  • Must have excellent time management skills and ability to adjust priorities quickly and comfortably
  • Ability to communicate in a clear and professional manner
  • Ability to solve problems, prioritize duties, and follow through with assigned tasks
  • Ability to work independently in a fast-paced environment

Compensation and Benefits

The salary for this position is estimated to be around $55,000-$65,000 per year, depending on experience. We offer a competitive benefits package, including generous health, dental, vision, disability, and life insurance. Our mission to revolutionize skin care makes working at Optima Dermatology a rewarding experience that goes beyond just a job. Join us in our pursuit of excellence and make a difference in the lives of our patients.

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