SR ADMIN - ARBITRATION
Company: MAXIMUS
Location: Grand Rapids
Posted on: September 30, 2024
|
|
Job Description:
Description & Requirements
Maximus is currently hiring for a Sr. Admin - Arbitration to join
our NY State Arbitration team. This is a remote opportunity. The
Sr. Admin- Arbitration will provide comprehensive administrative
support to the New York IDR team. This role involves participation
in daily operations, coordinating communications, and accurate data
input to ensure the smooth functioning of the IDR process.
Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and
procedures as referenced in the employee manual and other desk
procedures for the position
- Function as a Subject Matter Expert in one or more process
areas.
- Analyze data submitted for Independent Medical Review.
- Collect and analyze incoming data and reports from treatment
providers, facilities, participants, labs and health plans to input
necessary information into the system.
- Respond to incoming calls from clients, health plans, providers
and enrollees regarding case status, questions about the program,
and the appeals process.
Minimum Requirements
- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and
4+ years of experience) also considered.
- Strong organizational and multitasking abilities
- Excellent written and verbal communication skills
- Ability to work across multiple platforms
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook,
PowerPoint)
- Experience with Salesforce platform highly preferred
- Attention to detail and accuracy
- Ability to work independently as a part of a team
- Familiarity with insurance documentation, explanation of
benefits, and/or claim forms highly preferred
- Knowledge of CPT codes preferred
Please note: For this position Maximus will provide equipment to
use.
Home Office Requirements:
- Internet speed of 20mbps or higher required / 50 Mpbs for shared
internet connectivity (you can test this by going to
www.speedtest.net)
- Minimum 5mpbs upload speed
- Connectivity to the internet via either Wi-Fi or Category 5 or 6
ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
EEO Statement
Active military service members, their spouses, and veteran
candidates often embody the core competencies Maximus deems
essential, and bring a resiliency and dependability that greatly
enhances our workforce. We recognize your unique skills and
experiences, and want to provide you with a career path that allows
you to continue making a difference for our country. We're proud of
our connections to organizations dedicated to serving veterans and
their families. If you are transitioning from military to civilian
life, have prior service, are a retired veteran or a member of the
National Guard or Reserves, or a spouse of an active military
service member, we have challenging and rewarding career
opportunities available for you. A committed and diverse workforce
is our most important resource. Maximus is an Affirmative
Action/Equal Opportunity Employer. Maximus provides equal
employment opportunities to all qualified applicants without regard
to race, color, religion, sex, sexual orientation, gender identity,
national origin, protected veteran status or disabled status.
Pay Transparency
Maximus compensation is based on various factors including but not
limited to job location, a candidate's education, training,
experience, expected quality and quantity of work, required travel
(if any), external market and internal value analysis including
seniority and merit systems, as well as internal pay alignment.
Annual salary is just one component of Maximus's total compensation
package. Other rewards may include short- and long-term incentives
as well as program-specific awards. Additionally, Maximus provides
a variety of benefits to employees, including health insurance
coverage, life and disability insurance, a retirement savings plan,
paid holidays and paid time off. Compensation ranges may differ
based on contract value but will be commensurate with job duties
and relevant work experience. An applicant's salary history will
not be used in determining compensation. Maximus will comply with
regulatory minimum wage rates and exempt salary thresholds in all
instances.
Hourly Base Pay Minimum for this Position
$
18.50
Hourly Base Pay Maximum for this Position
$
20.00
Keywords: MAXIMUS, Grand Rapids , SR ADMIN - ARBITRATION, Administration, Clerical , Grand Rapids, Michigan
Click
here to apply!
|