Integrated Resources, Inc ( IRI )

Sr. Admin Appeals

  1. Essential uties and Responsibilities
    • Sr. Administrative role is fully remote opportunity for an experienced professional who provides essential support to programs as a subject matter expert.
    • Responsibilities encompass a wide range of administrative tasks, ensuring the smooth functioning of day-to-day program operation and requirements, exceptional attention to detail in a fast-paced work environment with the ability to work independently.
  2. Key Responsibilities:
    • Support for Programs:
      • Assist with daily clerical tasks with an ability to prioritize workflow.
      • Provide verbal decisions, appeal acceptance, request medical records from health plans and representatives through phone.
      • Monitor and maintain high volume workflow through an email shared mailbox, fax and mail. Receiving and sending professional communications to members, representatives, health plans, clients in a timely manner.
      • Collect, analyze and input incoming and outgoing data to ensure security of PHI/PII .
      • Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other procedures of the position.
    • Remote Workspace:
      • Maximus provides company-issued computer equipment.
      • Reliable high-speed internet service.
      • Minimum 20 Mpbs download speed/50Mbps for shared internet connectivity.
      • Minimum 5 Mbps upload speed.
      • Private and secure workspace.
    • Communication:
      • Handle emails and phone calls efficiently, ensuring effective communication within and outside the organization.
    • Software Proficiency:
      • Be proficient in using Microsoft Teams, Excel, Word and Adobe.
      • Not required but preferred – Salesforce, SharePoint, and Genesys telephony experience.
    • Time Management:
      • Effective time management skills.
    • Verbal and Written Communication:
      • Exhibit excellent verbal and written communication skills.
  3. Qualifications:
    • An ideal Senior Administrative Assistant should have:
      • Associate degree with 2+ years of experience.
      • Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.
      • Availability from 11:30AM ET -8PM ET / 10:30AM CT- 7PM CT / 9:30AM MT – 6PM MT / 8:30AM PT -5 PM PT - Monday through Friday.
  • Seniority level

    Entry level
  • Employment type

    Contract
  • Job function

    Administrative
  • Industries

    Staffing and Recruiting

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