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Administrative Specialist/ Administrative Assistant (Healthcare/ Medical)

22nd Century Technologies, Inc.
Pay Rate.- $25.76 /hr. on w
United States, Arizona, Phoenix
Apr 11, 2025
Job Title: Administrative Specialist/ Administrative Assistant (Healthcare/ Medical) Duration: 3+ Months Pay Rate: $25.76/hr. on w2 without benefits Location: 3550 N. Central Ave., Suite 102, Phoenix AZ, 85012 Must: Healthcare Experience/ Background. Must possess valid Arizona Driver's License. Travel required. Roles and Responsibilities: Provides administrative support in the Medical Resources Office (MRO) by appropriately processing phone calls, faxes, email, mail and other interactions. This support requires analysis and application of coding rules, administrative rules, and statutes. Manage the administrative peer review process and ensures that each element is completed according to the applicable rules and statutes. Provide support for the Physician's and Pharmaceutical Fee Schedule by analyzing data, preparing reports and documenting progress. Participate in agency programs to improve overall function. Participate in quality improvement exercises. Document activities as appropriate. Review and analyze documents that demonstrate potential billing conflicts and provide appropriate responses for the Informal Payment Dispute Resolution Program. Provide excellent customer support by appropriately managing calls, faxes, email, mail and other sources. Analyze the issue and provide information and resources as needed. Prepare and send official communication to stakeholders when direction regarding the elements of the MRO is required. Document the interactions. Manage the administrative peer review process. Review requests either by fax or the MRO portal and determine the net steps. Communicate with the involved parties and verify the submitted information. Send requests to a contractor who provides the peer review services. Distribute the results of the review to the involved parties. Provide support to the Program Manager on the annual fee schedule updates. Analyze data and provide reports that outline healthcare utilization by injured workers. Compile documentation that supports proposed changes to the fee schedules. Participates in meetings to discuss fee schedule issues. Participates in division and agency meetings and activities. Represent the division as occasion arises in agency committees. Provide administration support for the division by ordering supplies, processing invoices, and ensuring resources are appropriately utilized. Required Skills: Utilization review procedures and Procedural Terminology (CPT) cod Medical Terminology. Medical document preparation. Me information maintenance and priva Workers' Compensation laws and r ICD-10 use and meaning. Basic data analysis. Use of Microsoft and Google Workspace. Use of basic office equipment. Strong written and verbal skills. Analyze complex issues and provide correct responses. Manage complex issues. Analyze concerns and provide appropriate guidance. Interpret laws and rules. Communicate with healthcare providers, attorneys, payers, and injured workers. Manage workload with minimal direction. Attention to detail. Research information and provide summaries.