Medical Administrative Lead Representative

Immediate need for a talented Medical Administrative Lead Representative. This is a 03+ months contract opportunity with long-term potential and is located in Hooksett, NH (Remote). Please review the job description below and contact me ASAP if you are interested. 

Job ID: 24-44229

Pay Range: $20.39 - $21/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Medical Administrative Lead Representative (Research Team)
• This role differs from the regular HEDIS Admin role, as there is limited phone or customer outreach.
• This role will require Critical Thinking, experience with performing Research, knowledge of CPT codes and Claims data
• The Medical Administrative Lead Representative works under the direction of the Team Lead and othpersonnel.
• The position requires strong communication, computer, and clerical skills.
• Daily activities include tracking assigned research in electronic systems, utilizing client claims systems, using the Internet to gather provider/location information and possible phone/fax outreach if needed.
• Other daily activities include the ability to manage large amounts of data electronically, file documents in electronic filing software, faxing, scanning, and abstracting documents from electronic storage devices.
• Previous experience in Microsoft Office Suite (Outlook, Excel, and Word) required. 

Key Requirements and Technology Experience: 

• Key Skills; Medical Terminology, Computer Skills, CPT codes.
• Strong computer skills, (e.g., Data entry, Microsoft Word and Outlook, Excel, PDF, WebEx, Outlook)
• Must be comfortable using multiple computer systems including working with dual monitors.
• Excellent communication skills (written and verbal)
• Must be able to perform Internet research and research using Client proprietary software systems
• Must be detail oriented
• Must demonstrate tenacity to obtain the medical records
• Must have knowledge of medical terminology
• Must be a quick learner, who can demonstrate the ability to follow multi-step instructions, be a problem solver, and adhere to department protocols
• Ability to work independently and in team environment
• Knowledge of CPT Codes and Claims data - Required for the Research Team
• Must have a secure designated work area and a reliable Internet connection as this position will be 100% work from home .
• High school graduate or GED equivalency.
• Experience with Microsoft Office Suite (Outlook, Excel, and Word) required.
• Knowledge of CPT Codes and Claims data - Required for the Research Team
• Medical Assistant or Clinical Administrative Assistant experience preferred.
• Coding, claims and/or medical record review experience desired but not necessary.

Our client is a leading Insurance Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. 

Pyramid Consulting, 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.

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