The Medical Office Assistant position is directly responsible to the Contract Administrator or Managerial Designee for the administrative and support tasks and responsibilities involved in the contracts between company and managed care payors. Working closely with Managers, payor representatives and physician offices, the Contract Assistant will be responsible for assuring that the administrative terms of the contract are handled in an efficient and timely manner. As a non-clinical staff member, Contract Assistants do not perform UM activities that require the interpretation of clinical information.
*Develop a professional relationship with member physician office and managed care payor personnel.
*Coordinate selected faxing and reporting for company contracts. (Maintaining logs, faxing reports, verifying information, entering data, generating reports, etc.)
*Work with Managers to assure that information and expectations are communicated in an effective manner.
*Develop and maintain medical records to assure that all information is received, recorded and filed in the appropriate manner.
*Entering and maintaining information onto company’s database including patient and provider information, medical services, claims and payments.
*Participation in training classes related to Confidentiality, Conflict of Interest, HIPAA, URAC, Regulatory Compliance and department specific training as applicable.
*Preparing daily action logs for appropriate follow-up by Managers.
*May perform data entry without interpretation of clinical information as provided by company Manager.
*Knowledge, Skills and Abilities
*Pleasant, professional demeanor: articulate customer service individual.
*Computer literate: Windows, Microsoft Word, Excel, Database (Setup files)
*Medical or business office experience.
*Knowledge of CPT-4 /ICD-9 coding.
*General knowledge of the medical environment: managed care benefit plans, eligibility requirements, etc.
*Medical Terminology helpful.