Description

American Specialty Health Incorporated is seeking a Fax Administrator to support our Medical Necessity/Benefit Administration Department. This position will oversee all incoming faxes within the department.

Remote Worker Considerations

Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).  

Responsibilities

• Oversees all incoming Medical Necessity Review (MNR) Forms received by fax, mail or electronically.
• Collects all faxes on an hourly basis
• Sorts, stamps, staple all faxes. The faxes should be divided into seven categories: MNR Forms, Resubmissions/ Modification Forms, Claims, Tracers, Personal Faxes, Miscellaneous, and Incomplete.
• Forwards MNR Forms and ReOpen/ Modification Forms to the Front End Supervisor within 15 minutes of every hour.
• Counts and logs the total number of faxes received hourly as well as the number of faxes each category received.
• Calls practitioners regarding any fax transmittal problems and document all phone calls in the communication log.  A minimum of 35 calls must be made per day.
• Delivers faxes for other departments via interoffice envelopes.
• Sorts, logs, scan and forwards incoming MNR forms received by mail to Front End Supervisor upon receipt.
• Provides maintenance on the fax machines (change toner, etc.).
• Assist with state required calling for adverse determinations.

Qualifications

• High school diploma required.
• From zero to one year general clerical experience.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
• Ability to effectively organize, prioritize, multi-task and manage time.
• Demonstrated accuracy and productivity in a changing environment with constant interruptions.
• Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
• Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time. 

Physical Requirements

Ability to speak, see and hear other personnel and/or objects.  Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard.  Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

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