Administrative Data Entry- Professional experience in the medical field

Administrative and data entry role for the Utilization Review and Peer Review Department for Workers’ Compensation, Group Health & Disability; verifies and enters data in appropriate system(s); and provides general support to clinical staff, reviewing physicians, claims adjusters, and others in a team environment. ESSENTIAL FUNCTIONS and RESPONSIBILITIES • Uploading referral forms • Entering new referral data • Verifying client requirements • Coordinating with nurses, physicians and clients • Assigning new referrals and completing referral procedures • Accessing, triaging and assigning cases for utilization review (UR) • Responding to telephone inquiries from providers, claims adjusters, patients, and others as necessary • Entering demographics and other information into claims or clinical management system and maintaining data integrity • Obtaining all necessary information required for utilization review processing and case management from internal and external sources per policies and procedures • Distributing incoming and outgoing correspondence, faxes, and mail; uploading review documents into paperless system as necessary • General data entry, general data retrieval, general document and information retrieval, general business communication • Participating in audits, accreditation, and other quality assurance functions • Performing all job functions according to the related policies, procedures, instructions, laws, and regulations promulgated by the appropriate authority or the company • Running reports • Attending or assisting in training • Supporting other units as needed • Performing other duties as assigned • Supporting the organization's quality program(s) QUALIFICATIONS High school diploma or equivalent. • **** MUST have medical administrative experience****** • ****Work comp and UR experience preferred***** Physical Activity • Requires extended periods of sitting, phone work and data entry Position Requirements • High school diploma required, AA or BA degree preferred • Possesses excellent customer service skills • Ability to plan daily schedule and demonstrate good organizational skills • Professional and effective communication skills, both verbal and written • Competency in Microsoft Office, Excel, online database systems, and keyboarding • Ability to work independently, analyze information and problem solve • Good teamwork, organizational, decision making, and management skills • Capable of multitasking and meeting timeframes • Must be able to handle sensitive and confidential information with the highest degree of professionalism · Must have an environment to work free of distractions, home office Preferred Skills and Qualifications • Previous professional experience in the medical field, healthcare, insurance claims, Workers’ Compensation, managed care, medical management, and/or utilization review • Medical terminology • Bill review experience • We will only responded to your application if you need ALL of the requirements Job Type: Full-time Pay: $520.00 - $600.00 per week Experience: • UR or WC : 1 year (Preferred) Work Location: Remote Apply tot his job