Administrative Support

Integrated Resources, Inc

Philadelphia, Pennsylvania

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JOB DETAILS

JOB TYPE

Contractor

SKILLS

Administrative Skills, Calendar Management, Campaigns, Claims Processing, Clinical Outcomes, Clinical Research, Content Management Systems (CMS), Demographics, Documentation, Fax Machines, Information Technology & Information Systems, Mail Processing, Medicare, Organizational Skills, Pharmacy, Problem Solving Skills, Process Development, Rehabilitation Nursing, Telephone Skills, Time Management, Utilization Review Accreditation Commission (URAC)

LOCATION

Philadelphia, Pennsylvania

POSTED

2 days ago

Administrative SupportIntegrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.Job DescriptionTitle: Administrative SupportDuration: 3+ Months (Possible extension)Location: Philadelphia, PAResponsibilities:· Under the direction of the Manager, Clinical Outcomes & Therapeutic Optimization (COTO) the COTO Coordinator will be responsible for supporting administrative functions as well as non-clinical tasks within the COTO department for both Medicare and non-Medicare clients.· Monitors phone queue and answer calls generated by members/providers. Forward higher complexity and/or clinical member/provider inquiries to COTO pharmacist or COTO Department Manager as appropriate.· Provides knowledgeable and courteous member/provider customer assistance in regards to COTO Department programs and pilots.· Acts as the primary resource for outbound call needs including but not limited to: demographic updates, refill reminder updates, scheduling of patient consultations and various member/provider outreach campaigns.· Performs and documents general member history assessment utilizing the department's documentation platform; records patient comments and inquiries; and review and update member demographics.· Faxes or mails interactive consultations to members and providers which have been completed by clinical staff. Ensures tasks are completed in a timely manner.· Reviews returned mailed, making appropriate updates, documenting information according to department policies and procedures and resolving issues when necessary.· Proficient in use of claims processing system, JIVA and PerformPRO, including: ability to document in both systems utilizing established workflow processes, send letters to members and providers through PerformPRO, and complete items in task queue for all COTO Department programs.· Assigns interactive consultation requests to clinical staff for member calls generated through queue. Ensures DTM task queue is up-to-date and technician tasks are completed within a timely manner.· Follows established process workflows for inbound/outbound calls generated within department.· Administratively supports the COTO Area. Performs varied administrative duties inclusive of handling correspondence, maintaining calendars and mailboxes.· Reports issues with PerformPRO application to COTO Department Manager and/or Analysts.· Forwards member inquiries outside scope of COTO to appropriate resource utilizing call tree.· Comply with CMS & URAC MTM/DTM Standards.· Performs other job related duties and projects as assigned.

About the Company

Integrated Resources, Inc

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Administrative Support

Integrated Resources, Inc

Philadelphia, Pennsylvania

About the Company

Integrated Resources, Inc

Resume Resources

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