Integrated Resources, Inc ( IRI )

Sr Admin Appeals

Integrated Resources, Inc ( IRI ) New York, United States

NY Pittsford

Position: Administrator - Sr. Admin

Position Overview:

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.

Responsibilities:

  • 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

Requirements:

  • 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.
  • Handle emails and phone calls efficiently, ensuring effective communication within and outside the organization.
  • Be proficient in using Microsoft Teams, Excel, Word and Adobe.
  • Not required but preferred – Salesforce, SharePoint, and Genesys telephony experience.
  • Effective time management skills.
  • Exhibit excellent verbal and written communication skills.
  • Seniority level

    Mid-Senior level
  • Employment type

    Full-time
  • Job function

    Other
  • Industries

    IT Services and IT Consulting

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