Clinical Administrative Assistant Part-Time (onsite-Bachelor's Degree required) Weekend/Evening

Evenings 6:00 pm \- 10:00 pm Central Time

Weekends 8:00 am \- 7:00 pm; 9:00 am \- 1:00 pm; 2:00 pm \- 6:00 pm

EdiPhy Advisors, a leading provider of knowledge\-based services to the healthcare industry, is currently recruiting for an onsite part\-time Clinical Administrative Assistant. This position reports to our Director of Physician Service Operations.

Duties may include:

• Support our staff and clients by logging, imaging and indexing complex medical records.
• Work with legal, clinical and management staff to organize and provide information for internal and external use.· Obtains requests for clinical review/level of care recommendations and reviews for adequate/legible data, organizes information based on established processes.
• Enters review in the appropriate system for PCR/PA review. Verifies facility admission status.
• Monitors/updates logs and status reports. Follows up of reviews in hold/denied for lack of information status. Answer incoming calls and communicates with contracted entity(s) following confidentiality policy to: i) discuss any additional information needed to process the request ii) advise status of review in process
• Schedules time sensitive hearings with Physician Reviewers , adjusting work flow in order to ensure turnaround times are met.
• Daily coordination to ensure all turnaround times are met per contract agreements.
• Accepts responsibility for data entry of patient demographic data and provider selection through accurate editing and analysis
• Performs data entry in the confidential, password protected contracted entity(s) system and/or proprietary data base system.
• Review daily work queues and transition between tasks to support client needs throughout the day.
• Identifies system problems and recommends solution to supervisor or the Director of Physician Service Operations
• Directs clinical information to licensed staff for medical necessity reviews/completion of PAS review case for PCR/PA review. Refers calls to licensed staff for clinical discussions with case managers.
• Communicate clearly and effectively with staff and clients both to provide and receive information.
• Make outbound calls and emails to complete and close case submissions.
• Supports our services by embracing standards of excellence and participating in quality assurance checks in a timely manner and communicating and coordinating feedback with our team.
• Performs other duties as assigned.

The successful candidate will:

• Work in a variety of systems and be able to organize, file, array and store electronic data with ease
• Be able to process and prioritize a high volume of work with accuracy and in accordance with company standards
• Be committed to compliance and excellence.
• Reflect a courteous, respectful and positive attitude in interactions with others.
• Have excellent written, verbal, technical, scheduling and data charting skills.
• Medical records experience a plus.
• Bachelors degree required.

Equal Opportunity Employer

Education:

• Bachelor's (Required)

Work Location: In person