Sr. Admin Appeals
Sr. Admin Appeals
Integrated Resources, Inc ( IRI )
Utica-Rome Area
See who Integrated Resources, Inc ( IRI ) has hired for this role
- 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.
- 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.
- Support for Programs:
- 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.
- An ideal Senior Administrative Assistant should have:
-
Seniority level
Entry level -
Employment type
Contract -
Job function
Administrative -
Industries
Staffing and Recruiting
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