Clinical Administrative Assistant Weekdays (onsite-Bachelors Degree required) Multiple Shifts

Clinical Administrative Assistant Weekdays (onsite-Bachelor's Degree required) Multiple Shifts EdiPhy Advisors

• 4.1 Hoover, AL Job Details Full-time 2 hours ago Benefits Health insurance Dental insurance Flexible spending account Paid time off Vision insurance Life insurance Qualifications Quality assurance Bachelor's degree Document review Systems analysis Documentation review Full Job Description Monday
• Friday 8:00 am
• 5:00 pm Central Time Monday
• Thursday 8:00 am
• 7:00 pm Monday
• Friday 11:00 am
• 7:00 pm Central Time Monday
• Tuesday
• Wednesday
• Friday 8:00 am
• 7:00 pm EdiPhy Advisors, a leading provider of knowledge-based services to the healthcare industry, is currently recruiting for an onsite full-time Clinical Administrative Assistant .

This position reports to our Director of Physician Service Operations.

Duties may include:

Support our staff and clients by logging, imaging and indexing complex medical records. Work with legal, clinical and management staff to organize and provide information for internal and external use.

• Obtains requests for clinical review/level of care recommendations and reviews for adequate/legible data, organizes information based on established processes.

Enters review in the appropriate system for PCR/PA review. Verifies facility admission status. Monitors/updates logs and status reports. Follows up of reviews in hold/denied for lack of information status. Answer incoming calls and communicates with contracted entity(s) following confidentiality policy to: i) discuss any additional information needed to process the request ii) advise status of review in process Schedules time sensitive hearings with Physician Reviewers , adjusting work flow in order to ensure turnaround times are met. Daily coordination to ensure all turnaround times are met per contract agreements. Accepts responsibility for data entry of patient demographic data and provider selection through accurate editing and analysis Performs data entry in the confidential, password protected contracted entity(s) system and/or proprietary data base system. Review daily work queues and transition between tasks to support client needs throughout the day. Identifies system problems and recommends solution to supervisor or the Director of Physician Service Operations Directs clinical information to licensed staff for medical necessity reviews/completion of PAS review case for PCR/PA review. Refers calls to licensed staff for clinical discussions with case managers. Communicate clearly and effectively with staff and clients both to provide and receive information. Make outbound calls and emails to complete and close case submissions. Supports our services by embracing standards of excellence and participating in quality assurance checks in a timely manner and communicating and coordinating feedback with our team. Performs other duties as assigned.

The successful candidate will:

Work in a variety of systems and be able to organize, file, array and store electronic data with ease Be able to process and prioritize a high volume of work with accuracy and in accordance with company standards Be committed to compliance and excellence. Reflect a courteous, respectful and positive attitude in interactions with others. Have excellent written, verbal, technical, scheduling and data charting skills. Medical records experience a plus. Bachelors degree required.

Equal Opportunity Employer Job Type:

Full-time Benefits:

Dental insurance Flexible spending account Health insurance Life insurance Paid time off Vision insurance

Education:

Bachelor's (Required)

Work Location:

In person