Administrative Associate: East Brunswick NJ

Administrative Associate:
East Brunswick, NJ

Supports HQSI’s Medical Review Services department by performing administrative and other functions related to case intake, conversion, assignment, review and completion. Assists with various aspects of documentation and case management, as well as internal and external customer service. Position will be performed remotely from home with on-site office setting or other locations, as needed.

Job Type: Full-time (FT) – Remote Work Environment

Salary: $52,000 – $55,000 annually (Salaried Non-Exempt)

• Scan and log incoming paper charts; extract, transfer, and log incoming electronic supplied charts
• Intake and conversion of submitted cases within the document management system, including assessment of required documentation, case type and creation of the appropriate documentation to ensure the case is ready for a review assignment
• Assignment of cases to Non-Physician Reviewers (NPRs, typically nurses and coders), Physician Reviewers (PRs) and allied healthcare professionals
• Monitoring timeliness of task due dates
• Completion of draft final determinations letters
• Track timely receipt and accurate completion of Conflict of Interest statements from Physician Reviewers (PRs) and allied healthcare professionals
• Run and evaluate reports as needed for day-to-day workflow management (e.g., timeliness of tasks, resource availability, case volumes, etc.)
• Proofread / format final determinations and send to Director-MRS for final review and approval
• Monitoring of multiple contract mailboxes
• Assist with credentialing activities as assigned or requested
• Assist with physician recruitment outreach as needed

• Ability to work productively and communicate effectively in both an onsite office and remote home office setting
• Standard office skills and abilities related to use of telephone, copier, fax machine, etc. and interoffice and out-of-office communications
• Proficiency with Microsoft Office, Windows, Internet, E-mail, Database Project & Document Management Software
• Medical terminology
• HIPAA/HITECH Compliance and Confidentiality
• Internal and external customer service experience (telephone, email, etc.)
• Set-up and maintenance of files (hard copy and electronic)
• Microsoft Office applications and ability to utilize Word, Excel, Adobe and Outlook as daily office tools
• Utilizing project and documentation management systems and databases to track deliverables and status of cases
• Generating clear, accurate, and timely correspondence and summary reports
• 2–5 years of experience in a healthcare office setting (e.g., health insurance, physician’s office, hospital or outpatient setting)
• Calendar and email management
• Organizational skills
• Basic writing skills
• Effective written and verbal communication both internally and externally
• Ability to interact with internal staff and external contacts in a positive manner
• Ability to perform multiple tasks and meet established deadlines
• Diplomacy and tact
• Minimum high school diploma/GED; some college or vocational training preferred

• Primary functions require sufficient physical ability and mobility to work in an office setting; to sit for prolonged periods of time; to occasionally stand, stoop, bend, kneel, crouch, reach, and twist; to operate office equipment requiring repetitive hand movement and fine coordination including use of a computer keyboard; to travel to other locations, as needed; to verbally communicate to exchange information.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

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Job Category:
Administrative and Support Services

Salary Range: $45,000 – $60,000

Seniority level:
Entry level

Employment type:

Full-time

Job function:
Administrative

Medical/Dental/Vision, FSA and HSA, group life/AD&DD, voluntary life/AD&DD, 401k

Healthcare Quality Strategies, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

EOE:
Minorities/Females/Disabled/Veterans

Healthcare Quality Strategies, Inc. is Equal Opportunity, Affidavit Action Employer and an Alcohol/Drug Free Workplace. Healthcare Quality Strategies, Inc. is an E-Verify Employer.