Clinical Administrative Assistant (bachelor's degree required) Hybrid various shifts

Available Shifts

Thursday - Sunday 8:00am-7:00pm Hybrid

Wednesday-Saturday 8:00am- 7:00 pm Hybrid

Sunday-Wednesday 8:00am-7:00 pm Hybrid

EdiPhy Advisors, a leading provider of knowledge-based services to the healthcare industry, is currently recruiting for an onsite full-time Clinical Administrative Assistant. This position reports to our Director of Physician Service Operations. Clear criminal and credit record required.

Duties may include

• Support our staff and clients by logging, imaging and indexing complex medical records.
• Work with legal, clinical and management staff to organize and provide information for internal and external use.· Obtains requests for clinical review/level of care recommendations and reviews for adequate/legible data, organizes information based on established processes.
• Enters review in the appropriate system for PCR/PA review. Verifies facility admission status.
• Monitors/updates logs and status reports. Follows up of reviews in hold/denied for lack of information status. Answer incoming calls and communicates with contracted entity(s) following confidentiality policy to: i) discuss any additional information needed to process the request ii) advise status of review in process
• Schedules time sensitive hearings with Physician Reviewers , adjusting work flow in order to ensure turnaround times are met.
• Daily coordination to ensure all turnaround times are met per contract agreements.
• Accepts responsibility for data entry of patient demographic data and provider selection through accurate editing and analysis
• Performs data entry in the confidential, password protected contracted entity(s) system and/or proprietary data base system.
• Review daily work queues and transition between tasks to support client needs throughout the day.
• Identifies system problems and recommends solution to supervisor or the Director of Physician Service Operations
• Directs clinical information to licensed staff for...