Business Operations Associate
7 days ago
About Curative HR LLC
">Curative HR LLC is a leading provider of healthcare management services. We are seeking a highly organized and detail-oriented Business Operations Associate to join our team.
">Salary Range: $55,000 - $65,000 per year, depending on experience.
">Job Description:
">We are looking for a skilled Business Operations Associate to provide administrative support to our Utilization Management Department. The ideal candidate will have previous clerical experience, preferably in a managed care or medical management environment.
">Key Responsibilities:
">- ">
- Assist with the denial, appeal, and complaint process by typing, mailing, and logging letters.">
- Generate reporting data for health plans regarding denials, appeals, and complaints on a monthly basis.">
- Maintain a filing system for denials, appeals, and complaints.">
- Accept incoming calls, screen or resolve them in accordance with plan design and authorization requirements.">
- Enter authorizations for services as delegated by assignment.">
- Run and distribute reports from VBA databases, including authorization letters, daily authorization reports sent to health plans, and monthly statistical reports for management.">
- Create and design forms and reports as needed.">
- Maintain UM Committee minutes and update UM Policy & Procedures as needed.">
Requirements:
">- ">
- High school diploma or equivalent.">
- Previous clerical experience, preferably in a managed care or medical management environment.">
- Knowledge of Microsoft Access and medical terminology.">
- Strong skill with operating PC and using word processing and spreadsheet software applications.">
Benefits:
">Candidates selected for this role will be eligible for a comprehensive benefits package, including health insurance, paid time off, and opportunities for professional growth and development.
">Others:
">Please submit your application, including your resume and a cover letter, to apply for this exciting opportunity.
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