Administrative Data Entry Specialist – Medical Field Expertise
Join arenaflex, a leading organization in the healthcare industry, as we seek an experienced Administrative Data Entry Specialist to support our Utilization Review and Peer Review Department for Workers' Compensation, Group Health & Disability. As a key member of our team, you will play a vital role in verifying and entering data in our system, providing general support to clinical staff, reviewing physicians, claims adjusters, and others in a collaborative environment.
About arenaflex
arenaflex is a dynamic and innovative organization dedicated to delivering exceptional healthcare services to our clients. With a strong commitment to quality and excellence, we strive to create a work environment that fosters growth, learning, and collaboration. Our team is passionate about making a positive impact in the lives of our clients, and we are seeking like-minded individuals to join our mission.
Job Summary
We are seeking an experienced Administrative Data Entry Specialist to join our team. As a key member of our Utilization Review and Peer Review Department, you will be responsible for uploading referral forms, entering new referral data, verifying client requirements, and coordinating with nurses, physicians, and clients. You will also be responsible for assigning new referrals, completing referral procedures, and monitoring cases for utilization review. Additionally, you will respond to communications from providers, claims adjusters, patients, and others, and place outbound telephone calls to schedule and facilitate review discussions.
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
- Assigning, triaging, and monitoring cases for utilization review (UR)
- Responding to communications from providers, claims adjusters, patients, and others
- Placing outbound telephone calls to providers to schedule and facilitate review discussions
- 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
- 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
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
- Must be willing to work 9 am to 6 pm PST
Work Environment and Culture
arenaflex is committed to creating a work environment that is inclusive, supportive, and collaborative. Our team is passionate about delivering exceptional healthcare services to our clients, and we strive to create a culture that fosters growth, learning, and innovation. As an Administrative Data Entry Specialist, you will be part of a dynamic team that is dedicated to making a positive impact in the lives of our clients.
Career Growth Opportunities and Learning Benefits
arenaflex is committed to investing in the growth and development of our team members. As an Administrative Data Entry Specialist, you will have opportunities to learn and grow with our organization, including:
- Professional development and training programs
- Mentorship and coaching opportunities
- Opportunities for career advancement and promotion
- A dynamic and supportive work environment that fosters growth and learning
Compensation, Perks, and Benefits
arenaflex offers a competitive compensation package, including:
- Competitive salary and benefits
- Comprehensive health insurance
- Retirement savings plan
- Paid time off and holidays
- Opportunities for professional development and growth
How to Apply
If you are a motivated and experienced Administrative Data Entry Specialist with a passion for delivering exceptional healthcare services, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to [insert contact information]. We look forward to hearing from you!
Application Question(s)
* Can you work 9 am PST to 6 pm PST?
Shift Availability
* Day Shift (Preferred)
Work Location
* Remote Apply Job! Apply for this job