Utilization Review Business Support Specialist Jobs

Minimum of two years Business Administration/Administrative Assistant/Office Management/Receptionist experience

Data Entry and QuickBooks experience is a plus, but not required

70% Business administration, office management (must answer multi-phone line system and manage office space in Chandler, AZ) and accounting support

Management of office operations, supplies, outgoing and incoming mail and offsite storage facilities

Business Administration, Office Management and Account Support

Experience working in fast-paced office setting

Investigates concerns for improper billing/coding practices and recommends corrective action, works collaboratively to understand denial/appeal management process and alert edits/rejections. (10%)

Proficient with department software, analytical tools, basic coding and billing knowledge, and revenue cycle operational policies. (5%)

1 year experience with medical necessity appeals

Implements and organizes downgrades compliantly and per documentation. (10%)

Identifies trends with claim holds and denials and provides communication to all necessary parties. (10%)

Communicates with all parties in a professional manner to alert of specific problem issues. (10%)

2、Solid time management skills and ability to multitask

· Prepare and analyze sales reports, performance metrics, and sales forecasts for the sales team and management.

1、Excellent communication and interpersonal skills

7、Solid working knowledge of Microsoft Office, Excel, and PowerPoint

· Process sales orders and ensure accurate entry into ERP system.

· Assist sales representatives with generating quotes, contracts, and other sales relevant documents for clients.

Investigates concerns for improper billing/coding practices and recommends corrective action, works collaboratively to understand denial/appeal management process and alert edits/rejections. (10%)

Proficient with department software, analytical tools, basic coding and billing knowledge, and revenue cycle operational policies. (5%)

1 year experience with medical necessity appeals

Implements and organizes downgrades compliantly and per documentation. (10%)

Identifies trends with claim holds and denials and provides communication to all necessary parties. (10%)

Communicates with all parties in a professional manner to alert of specific problem issues. (10%)