Administrative Associate

Healthcare Quality Strategies•East Brunswick, NJ

26d•$55,000•Remote

About The Position

Administrative Associate FT (40 hours/week) – Remote Work Environment Salaried Non-Exempt: $55,000 annually Supports HQSI’s Medical Review Services department by performing administrative and other functions related to case intake, conversion, assignment, review and completion. Assists with various aspects of documentation and case management, as well as internal and external customer service. Position will be performed remotely from home with on-site office setting or other locations, as needed. Currently the work environment is remote, but there may be the need in the future, dependent upon work requirements and opportunities, to return to a full-time on-site, in the office, setting.

Requirements

Ability to work productively and communicate effectively in both an onsite office and remote home office setting
Standard office skills and abilities as relate to use of telephone, copier, fax machine, etc. and interoffice and out of office communications
Microsoft Office, Windows, Internet, E-mail, Database Project & Document Management Software
Medical terminology
HIPAA/HITECH Compliance and Confidentiality
Experience in: Internal and external customer service issues (telephone, email, etc.)
Set-up and maintenance of files (hard copy and electronic)
Microsoft Office applications and the ability to utilize Word, Excel, Adobe and Outlook as daily office tools
Utilizing project and documentation management systems and databases to track deliverables and status of cases
Generating clear, accurate, and timely correspondence and summary reports
2-5 years of experience in a healthcare office setting (e.g. health insurance, physician’s office, hospital or outpatient setting)
Calendar and email management
Organizational skills
Basic writing skills
Effective written and verbal communication both internally and externally
Ability to interact with internal staff and external contacts in a positive manner
Ability to perform multiple tasks and meet established deadlines
Diplomacy and tact
Minimum HS Diploma/GED, some college or vocational training preferred

Responsibilities

Scan and log incoming paper charts; extract, transfer, and log incoming electronic supplied charts
Intake and conversion of submitted cases within the document management system, which includes assessment of required documentation, case type and creation of the appropriate documentation to ensure the case is ready for a review assignment
Assignment of cases to Non-Physician Reviewers (NPRs, typically nurses and coders), Physician Reviewers (PRs) and allied healthcare professionals
Monitoring timeliness of task due dates
Completion of draft final determinations letters
Track timely receipt and accurate completion of Conflict of Interest statements from Physician Reviewers (PRs) and allied healthcare professionals
Run and evaluate reports as needed for day to day workflow management (e.g. timeliness of tasks, resource availability, case volumes, etc.)
Proofread / format final determinations and send to Director-MRS for final review and approval
Monitoring of multiple contract mailboxes
Assist with credentialing activities as assigned or requested
Assist with physician recruitment outreach as needed