Be an early applicantLess than 25 applicants

Company

Maximus · 3 days ago

Sr. Admin - Arbitration

United States

Full-time

Remote

Entry Level

$20/hr - $21/hr

2+ years exp

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Business Process Automation (BPA)Consulting

H1B Sponsor Likely

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Responsibilities

Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position

Function as a Subject Matter Expert in one or more process areas.

Analyze data submitted for Independent Medical Review.

Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.

Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.

Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.

Create arbitration cases in the system.

Send requests for information to providers and health plans.

Close arbitration cases in the system.

Analyze data received from providers and health plans.

Collect and analyze incoming data and reports from treatment providers, facilities, participants, laboratories and health plans to input necessary information into the system.

Respond to incoming emails from clients, health plans, providers and enrollees regarding case status, questions about the Program, and the appeals process.

Qualification

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Multitasking AbilitiesMicrosoft Office SuiteSalesforceInsurance DocumentationCPT Codes

Required

Associate degree with 2+ years' experience.

Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.

Strong organizational and multitasking abilities

Excellent written and verbal communication skills

Ability to work across multiple platforms

Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)

Ability to successfully work in a fast-paced, deadline-driven environment

Attention to detail and accuracy

Ability to work independently as a part of a team

Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity

Minimum 5mpbs upload speed

Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router

Private work area and adequate power source

Must currently and permanently reside in the Continental US

Preferred

Experience with Salesforce platform highly preferred

Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred

Knowledge of CPT codes preferred

Ability to commit to a training schedule of 8am - 5:30pm EST Monday - Friday preferred

Benefits

Health insurance coverage

Life and disability insurance

A retirement savings plan

Paid holidays

Paid time off

Company

Maximus

Glassdoor

3.5

Providing government technology services, digitally enabled customer experiences, and clinical health services that change lives.

Founded in 1975

Mclean, Virginia, USA

10,001+ employees

http://www.maximus.com/

H1B Sponsorship

Maximus has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2023 (26)

2022 (48)

2021 (38)

2020 (46)