Medical Claims Review Manager jobs in Racine, WI

Description

JOIN OUR TEAM AS A Administrative Assistant – Utilization Review – Part Time

Your Work Matters How will you make a difference?

The Administrative Assistant is responsible for providing administrative support for the Utilization Management department, including performing clerical duties, attending departmental meetings, coordinating staff activities, staff educational files and providing support for the Director of Clinical Programming.

Schedule: Monday – Friday flexiable hours ( 8am–1pm) or Monday – Thursday (8am- 2pm)

Your Experience Matters What we’re looking for:

• Education: Associate Degree in Business Administration or related field preferred; or an equivalent combination of education and experience.
• Experience: At least one (1) year experience as an Administrative Assistant in a health care setting    preferred in a health care setting; or combination of education, training and experience.
• Additional Requirements: Must be able to type at least 65 w.p.m.; knowledge of Word and Excel software programs; and experience as a mental health technician desired. Ability to work overtime and flexible hours, as requested.

PRIMARY RESPONSIBILITIES

Primary duties may include, but are not limited:

• Completes frontline and clerical support to the Utilization Review team in processing daily, weekly, and monthly reports
• Managing incoming calls or incoming emails from insurance companies and route them appropriately.
• Follow-up on appeal submissions to determine status.
• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure clinical requests and questions are handled appropriately and in a timely manner.
• Verify patient insurance eligibility as needed
• Complete follow-up calls for Utilization Review Coordinators to maintain compliance on authorization timeframes.
• Provide support for documentation uploads of authorizations.
• Troubleshoot for missing documentation as requested.
• Responds to tasks and written request from coordinators, providers and internal departments.

• Open and distribute mail for the department.
• Order supplies for the department, maintain a cost-effective and efficient office.
• Consistently prioritize workloads to ensure daily work is completed.
• Adhere to facility, department and Corporate Personnel Policies and Procedures.

Your Care Matters What we provide for our team:

• 401(k) matching
• Health insurance
• 100% company-paid life insurance coverage up to 2x your annual salary
• Vision insurance
• Dental insurance
• 100% company-paid long term disability insurance
• Paid time off
• Cafeteria on site discounted meals
• Employee engagement events
• Employee assistance program
• Employee recognition program
• Free parking

What sets us apart:

• Career & training development opportunities
• Dynamic and inclusive work environment
• Engaged management team dedicated to your success
• A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

Disclaimer: Benefits are subject to change at the discretion of Lake Behavioral Hospital.

Compensation:

This is a Part-Time role and the expected compensation range for this role is $19.00 -$26.00 hourly.  We’re eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Administrative Assistant for Utilization Review.

Get to know us Outstanding Care, Compassionate People, Unparalleled Service

Discover a fulfilling career at Lake Behavioral Hospital (LBH)!

We are a 161-bed acute care facility located in Waukegan, IL and has been providing mental health treatment to the community and the state of Illinois since 2018. We are dedicated to offering services to meet the ever-changing emotion and behavioral healthcare needs of adolescents, adults, and their families. We offer specialized inpatient programs and outpatient services proven to decrease symptoms of mental illness and we are committed to help people live healthier lives. Our compassionate and experienced team of psychiatrists, licensed therapists, nurses and support staff are here to create an atmosphere of health, hope, and healing.

Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.

• To learn more about LBH, visit us at: https://www.lakebehavioralhospital.com/

TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.

Individuals Maintaining Positive Attitude and Commitment To Service

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Qualifications