iMPROve Health
Job role: Administrative Assistant Healthcare (Remote)
Company name: iMPROve Health
Job Location: United States
Job Sector: Healthcare
About the Job:
Responsible for the daily administrative support for the Federal Independent Dispute Resolution Entity (IDRE) review process operations as well as project support and other activities as required.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Assume all administrative responsibilities for IDRE operations including data entry and downloading and uploading case documentation to and from the IDR/IIDR and the Federal IDR portals.
- Communicate with providers, payers, and internal staff regarding claim statuses and documentation needs for IDR.
- Work closely with the Federal IDRE team to ensure proper IDRE case tracking.
- Monitor emails (disputes) and follow up as needed to ensure timely case progression.
- Respond to external and internal customer email and phone inquiries including answering case status questions and directing messages to the appropriate team member(s).
- Work with the team to meet daily processing targets.
- Generate and send email correspondence using templates.
- Collaborate with the finance department to coordinate and send appropriate notification correspondence.
- Develop various tracking spreadsheets and other program templates.
- Handle incoming and outgoing communications for aforementioned program.
- Assist team with organizing case documentation including creating folders and establishing other methods to organize incoming and outgoing case materials.
- Assist with data entry, report generation, and administrative tasks related to dispute resolution.
- Update appropriate spreadsheets with information obtained from received documents.
- Assist team members with scheduling internal and external meetings.
- Ensure compliance with all Company policies.
- Adhere to all relevant compliance regulations (Health Insurance Portability and Accountability Act, Federal Information Security Management Act, URAC, Centers for Medicare & Medicaid Services, Federal Acquisition Regulation (FAR))
- Other duties as assigned
EDUCATION AND EXPERIENCE:
- Associates Degree or equivalent combination of education and experience required
- Minimum two years’ experience in an administrative support position required.
- Ability to stay on task and complete duties by assigned deadlines required.
- Knowledge of medical terminology a plus
- Experience with complex technological systems.
- Proficient in Microsoft Office Suite software.
- Visio experience preferred.
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