Sr Admin Appeals
Sr Admin Appeals
Integrated Resources, Inc ( IRI )
New York, United States
See who Integrated Resources, Inc ( IRI ) has hired for this role
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:
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
- 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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