Physician Review Administrative Assistant

Description

About Us

Hines 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 - 5:30pm
• Shift Differential Available for 9am shift!

PM21

Requirements

Education:

• HS Diploma or equivalent.
• Courses in computers, medical terminology, data entry, word processing, and secretarial training desired

Experience:

• At least one year of professional office experience; experience with medical terminology required.

Skills:

• Computer Knowledge
• Data entry in databases
• Word processing

Personal 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.*