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Healthcare Operations Coordinator

1 month ago

New Hyde Park, New York, United States Medix Full time
Job Title: Administrative Assistant (Bachelors Required)

We are seeking a highly organized and detail-oriented Administrative Assistant to support our healthcare operations team.

Key Responsibilities:
  • Coordinate activities crucial to the successful completion of clinical review projects.
  • Support various programs by monitoring requests, managing interactions with clinical partners, tracking deliverables and deadlines, and developing project frameworks to streamline interdisciplinary and interagency communications.
  • Serve as the primary point of contact for appeal and dispute adjudication programs.
  • Liaise with healthcare plans, providers, patients, and clients to coordinate requests, correspondence, and submission of case documentation as needed.
  • Monitor appeal and dispute status, as well as communication received through client portals.
  • Conduct initial eligibility reviews and recommend courses of action to internal teams and department management.
  • Track and assign cases using commercial off-the-shelf and custom software applications.
  • Review and distribute case documentation to assigned billers/coders, nurses, physicians, clinicians, internal teams, and key stakeholders to facilitate clinical and coding reviews.
  • Monitor and measure key performance indicators, including timeliness, adherence to quality standards, and contract deliverable deadlines.
  • Identify barriers and roadblocks in work processes, recommend solutions, and implement approved actions.
  • Present case and project status regularly in huddles and scrums using an agile and iterative approach to implementation and data presentation.
  • Schedule regular team status meetings and document decisions, assigned tasks, and next steps.
  • Prepare billing invoices at the conclusion of cases, submit to the Finance department, and collaborate with accounting to track and trend payments.
  • Mentor and train new staff, at all levels, on process steps and case progression.
  • Perform other duties as assigned or required.
Qualifications:
  • Bachelor's or advanced degree in healthcare, business, management, or digital studies.
  • Proficiency with collaborative project management software, electronic documents, and design tools.
  • Strong problem-solving skills with the ability to work effectively in a team environment.
  • Excellent written and verbal communication skills, including a professional phone manner.
  • Ability to work independently with minimal supervision.
  • Highly adaptable, innovative, and capable of multitasking in a dynamic work environment.
  • Proven track record of meeting deadlines in time-sensitive situations.
Education & Experience:
  • Bachelor's or advanced degree in healthcare, business, management, digital studies, or a related field.
  • 2 years of collaborative project support preferred; however, new graduates will be considered.