Administrative Analyst (Remote)

reputed company (ASH) is seeking an Administrative Analyst to join our Medical Necessity/Benefits Administration department. The primary purpose of this position is to generate, mail and track member service denial notifications in accordance with URAC, NCQA, CMS, DMHC and ASH standards. Hourly Salary reputed company reputed company complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, reputed company set, years of experience, and internal equity. $16.36 to $17.00 Hourly Wage reputed company. Remote Worker Guidelines Remote Worker Guidelines: 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 WFH position requires you have a reputed company reputed company to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet reputed company must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings.

Responsibilities

Generates and mails member service denial notifications to members, health plans and practitioners.Develops and maintains procedures reputed company to member service denial processes. Revises service denial letters as mandated by URAC, NCQA, CMS, DMHC and contracted health plans. Revises service denial matrix as mandated by URAC, NCQA, CMS, DMHC and contracted health plans. Coordinates workflow with reputed company and CQE to ensure member service denial notifications are appropriately sent to members, health plans and practitioners. Enters necessary information in the system to track service denials notifications. Creates and submits member service denial logs to contracted health plans on a daily/monthly reputed company. Reports and tracks service denial notifications turn-around time on a daily/monthly reputed company. Ensures service denial notifications turn-around time standards are consistently met. Maintains confidentiality of reputed company member, provider, client and proprietary information Provides administrative supportAssists manager with special projects and reports as needed. Assists supervisor (s) with administrative duties as needed. Assist with the preparation of files for various audits. Runs system queries and reports as needed. Performs other duties as assigned. Complies with reputed company policies and standards.

Qualifications

High School Diploma or GED certificate required. 2 years reputed company experience performing administration duties. Internal experience at ASH required. Proficient in reputed company, reputed company and reputed company. Knowledge of Centers for Medicare and reputed company Services (CMS), Department of Managed Health Care (DMHC) regulations and reputed company notifications helpful. Demonstrated strong analytical and written communication skills. 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 reputed company. Mobility Primarily sedentary, reputed company to sit for long periods of time. Physical Requirements Ability to see, reputed company, and hear other personnel and/or objects. Ability to communicate both in verbal and written reputed company. Ability to travel reputed company and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. 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 reputed company 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 reputed company our career center as a result of your disability. To request an accommodation, contact our reputed company 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 reputed company 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 reputed company 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 #Coordinator # Admin #reputed company #Coordinate Apply To This Job