Physician Review Administrative Assistant
Company: Hines & Associates Inc
Location: Rockford
Posted on: October 26, 2024
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Job Description:
Description:About UsHines is a nationwide, independent leader in
personalized managed health care, focused on what's important to
you-comprehensive services with the program excellence and cost
containment that you demand. Hines & Associates, Inc.'s reputation
as an industry leader is founded on over three decades of
innovative and professional health care excellence. Serving all
aspects of the industry, Hines is committed to conserving health
care dollars while ensuring quality care through effective programs
and personalized service. Overview:As a vital first point of
contact for Hines & Associates, the Physician Review (PA/PR) Admin
Assistant supports the Physician Review Department, by assisting
with the processing of cases through the department including
coordination of the transmission of clinical information & cases to
physicians, preparing physician reports in the system, coordinating
QA of cases, and distribution of approved reports/invoices
internally and to customers.Specific duties may
include:Communicates with physician reviewers, case managers,
utilization review nurses, providers and customers.Documents PA/PR
process in HMMS - maintaining required logs, tracks timeliness of
responses, prepares & submits cases to reviewers, remind reviewers
as needed of case due dates, assist with questions on reports to
reviewers, enter reports into the system accurately for RN QA,
prepares biographies, creation of invoices for physician
reimbursement and customers for reports, distribution of reports
and invoices.Participates in gathering information for verification
of credentials and licenses of MD reviewers.Print, mail, fax and
copy correspondence, as necessary.Other duties as assigned.We are
willing to train highly motivated, customer focus
individuals!Quarterly bonus eligible!This is a full-time position,
Monday - Friday, NO WEEKENDS OR NIGHTS!Generous benefits package,
including a 401k plan with a company match.Paid time off.Monday -
Friday, 8:30 am - 5:00 pm shift or 9:00am - 5:30pmShift
Differential Available for this shift!PM21Requirements:Education:HS
Diploma or equivalent.Courses in computers, medical terminology,
data entry, word processing, and secretarial training
desiredExperience:At least one year of professional office
experience; experience with medical terminology
required.Skills:Computer KnowledgeData entry in databasesWord
processingPersonal Qualifications:Helpful and friendly telephone
personality. Ability to proof written material accurately. Accurate
data entry ability. Ability to organize a large variety of tasks
and prioritize as directed by the nurse coordinator. Ability to
work with a variety of professional staff and provide clerical
backup as needed for that staff. Understanding of customer
service.*Hines welcomes diversity and as an equal opportunity
employer all qualified applicants will be considered regardless of
race, religion, color, national origin, sex, age, sexual
orientation, gender identity, disability or protected veteran
status.* Compensation details: 18.7-18.7 Hourly
WagePIc7fcabc815e7-25660-35661729
Keywords: Hines & Associates Inc, Moline , Physician Review Administrative Assistant, Administration, Clerical , Rockford, Illinois
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