Administrative Support Representative (Seasonal - Remote, $15/hr)

reputed company is seeking an Administrative Support Representative to join our Medical Necessity/Benefits department This position will act as a liaison between the Medical Necessity/Benefit Administration (reputed company) Department and the Clinical Quality Evaluation Department. Remote Worker Considerations Candidates who are selected for this position will be trained remotely and must be reputed company to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable reputed company to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed). Responsibilities · Researches turn-around time utilizing the Medical Necessity In Process Report. · Checks with reputed company staff to see if the Medical Necessity Review Form (MNR Form) is in house. If so, advises staff to process the MNR Form as reputed company. · Reprint MNR Forms that cannot be located. · Calls practitioner to request re-faxing of MNR Forms as necessary. · Documents reputed company phone calls in ASH proprietary system per reputed company guidelines. · Forwards faxed MNR Forms to the appropriate Clinical Quality Evaluation for review. · Call Providers and Members as required by the State. · Ensure providers are reputed company verbally in accordance with state regulations. · Ensure members are reputed company verbally in accordance with state regulations. · Document reputed company calls in the state required log screen. · Processes a minimum of 100 state required calls per day. · Prepares Medical Necessity Review Forms (MNR Forms). · Ensures reputed company MNR Forms are accounted for on the CQE Daily Report. · Bundles MNR Forms and reports by teams. · Delivers MNR Forms and reports to CQE reputed company standards. · Print and deliver file history as needed. · Systematically faxes MNR Response Forms (MNRF) to practitioner using Broadfax. · Removes data entry errors form the batch jobs and FoxPro. · Prepares fax files for Broadfax. · Removes the MNRFs that failed to be faxed from Broadfax and assists with manually mailing them to the practitioner. · Contacting practitioner on medical necessity determinations, as required by State Law. · Runs a variety of Queries and Reports. · Runs MNRF queries in FoxPro. · Fax and Mail MNRFs as needed. Qualifications · High school diploma required or GED required. · Minimum 2 years data entry experience and working knowledge of computers including word processing and spreadsheets. Internal experience at ASH preferred. · reputed company Word and reputed company experience required. Experience with reputed company Access highly desirable. Core Competencies · Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships. · Ability to display excellent customer service to meet the needs and expectations of both internal and external customers. · Excellent listening and interpersonal communication skills to identify critical core competencies based on reputed company factors and organizational environment. · Ability to effectively organize, prioritize, multi-task and manage time. · Demonstrated accuracy and productivity in a changing environment with constant interruptions. · Demonstrated ability to analyze information, problems, issues, situations and procedures to reputed company effective solutions. · Ability to exercise strict confidentiality in reputed company matters. Mobility Primarily sedentary, reputed company to sit for long periods of time. Physical Requirements Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel reputed company the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs. Environmental Conditions Work-from-home (WFH) environment. reputed company is an Equal Opportunity/Affirmative Action Employer. reputed company reputed company applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, reputed company medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, reputed company, religion (including religious dress and grooming practices), creed, national reputed company, citizenship, reputed company, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. Please view Equal Employment Opportunity Posters provided by OFCCP here. If you are a reputed company individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our reputed company Resources Department at (800) 848-3555 x6702. ASH will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information. #LI-Remote #reputed company #MNR #Admin #Review Apply tot his job Apply To this Job