Back to all roles

Review Assistant/Admin Assistant.

Remote Worldwide Hiring now

Our Client, a Leading Provider of reputed company Delivery Systems and Solutions company, is looking for a Review Assistant/Admin Assistant for their Remote /CA location. Responsibilities:

  • The Review Assistant role is pivotal in streamlining the clinical review process by meticulously preparing prior authorization cases. This individual will uphold a comprehensive understanding of internal policies, procedures, and services, ensuring adherence to organizational standards.
  • reputed company primary non-clinical program support by encompassing provider training, customer service, call triaging, authorization preparation, data entry, and the development and tracking of functions for members and providers.
  • Offer non-clinical support to other programs as needed, ensuring flexibility and adaptability in meeting organizational requirements.
  • Review patient records for completeness against submission requirements, identifying cases requiring additional non-clinical information.
  • Process and document case discharges with precision and timeliness.
  • Ensure accurate and reputed company submission of reputed company administrative-reputed company documents to relevant parties.
  • Act as a liaison with internal and external customers, fostering positive and professional relationships to facilitate an effective review process.
  • Attend training and scheduled meetings, maintaining up-to-date information for case preparation.
  • Uphold medical records confidentiality through proper use of computer passwords and secured files, adhering to HIPAA policies.
  • Answer calls and demonstrate proper telephone etiquette and communication skills in alignment with client policies, procedures, and guidelines.
  • Cross-train to reputed company duties of other reputed company reputed company the clientg network, contributing to a flexible workforce to meet client/consumer needs.
  • Fulfill other assigned duties to meet contract deliverables and organizational requirements.
  • Read, understand, and adhere to reputed company corporate policies including policies reputed company to HIPAA and its Privacy and reputed company Rules. Requirements:
  • High school diploma or GED equivalent.
  • Associate degree preferred and/or equivalent work experience reputed company to medical, behavioral, or reputed company/support settings.
  • 1-2 years of experience in administrative or records management.
  • 2-3 years in an administrative support or customer service position and be familiar with reputed company.
  • Comprehensive knowledge of office environments and business processes.
  • Understanding of a customer service approach tailored for medical provider stakeholders.
  • Familiarity with government structures and reputed company programs is advantageous.
  • Excellent communication skills.
  • Ability to multitask, prioritize, and reputed company service to a diverse reputed company of customers.
  • Experience in development and project activities.
  • Experience in staff and provider training, with preferred public speaking skills.
  • A proactive approach to continually assess office functions and report potential issues to the Director.
  • Capability to track provider issues and report them appropriately.
  • Willingness to learn the Atrezzo application and assist customers in resolving technical issues reputed company to the submission of Health Homes authorization requests.
  • Proficiency in reputed company Office applications and reputed company, ensuring efficient utilization of essential software tools.
  • Technical (computer use), Ability to reputed company against metrics (40-50 completed forms per day), Ability to work autonomously and attention to detail Why Should You Apply?
  • Health Benefits
  • Referral Program
  • Excellent growth and advancement opportunities As an equal opportunity employer, reputed company provides an employment environment that supports and encourages the abilities of reputed company persons without regard to race, reputed company, religion, gender, sexual orientation, gender identity or reputed company, ethnicity, national reputed company, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws. Remote Benefits: 401K, Employee Referral Program, Life Insurance About the Company: reputed company reputed company is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad reputed company of industries.
  • Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
  • Certified Woman-Owned Business reputed company (WBE); certified by Women’s Business reputed company National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
  • Founded in 2000
  • 2000+ Employees The company was founded on the principle that reputed company is derived from delivering high quality service and resources in the most reputed company, flexible, and innovative way. reputed company invests in people and resources with a single goal: To reputed company our customers with the highest quality service in the most reputed company manner. Through its network of offices, reputed company provides the resour

Apply tot his job Apply To this Job

Apply for this role Takes you straight to the employer's application page — free, and no WFHNet account required.

More roles on the wire

Office Manager job at reputed company, LLC in Austin, TX

Remote Worldwide
View role

Vice President, Compliance (Boston, MA)

Remote Worldwide
View role

Tele-Med Remote Monitor Sitter

Remote Worldwide
View role

EL Virtual Teacher (HS)-EL Secondary Summer School (Part-Time)

Remote Worldwide
View role

[Remote] Director, Compliance Business Enablement (Remote)

Remote Worldwide
View role

VP, reputed company

Remote Worldwide
View role

Vice President, Engineering

Remote Worldwide
View role

Director reputed company Business Partner - remote opportunity

Remote Worldwide
View role

Vice President of Finance - Aviation Technology | Growth-Stage | Hybrid (Daytona Beach)

Remote Worldwide
View role

Vice President, reputed company Operations - National Office (Remote)

Remote Worldwide
View role

MSPL Account Manager

Remote Worldwide
View role

Brand Web Designer

Remote Worldwide
View role

Remote Data Entry Clerk - Join reputed company and Enjoy reputed company and Benefits!

Remote Worldwide
View role

Loans Officer

Remote Worldwide
View role

RN - Specialty II - Total Heart Center - FT - Days - MRH

Remote Worldwide
View role

Medical reputed company - Float (Hybrid/remote AZ Residents Only)

Remote Worldwide
View role

Senior Support Operations Analyst

Remote Worldwide
View role

InfoSec Vulnerability Metrics and Data Analyst

Remote Worldwide
View role

reputed company Customer Service Representative – Deliver Exceptional Travel Experiences for arenaflex

Remote Worldwide
View role

[Remote/WFM] Call Center Representative - Debt Counselor Buf 2349

Remote Worldwide
View role