Job Description

Immediate need for a talented Medical Administrative Senior Representative . This is a 04+ Months Contract opportunity with long-term potential and is located in Gallatin, TN (Onsite) . Please review the job description below and contact me ASAP if you are interested.

Job ID:24-29137

Pay Range: $18/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:

• Understanding of the purpose of the LivingWell and the services offered in the clinics
• Knowledge of what HEDIS/STARS/P4Q measures are and the role they play with MA plans
• Verbalize understanding of how to identify patient appointment types based on patient need
• Provides a positive attitude when giving help to patients via phone and in person
• Strong computer skills
• Understanding of Insurance eligibility guidelines
• Maintains and updates system to reflect accurate patient demographic and insurance information
• Maintains HIPAA compliance and is responsible for keeping patient confidentiality
• Communicate with all departments to resolve issues, provide positive and constructive feedback and communicate information to members at both the point of care and via telephone
• Develops and maintains good relations with all team members, referring physicians, and external HealthSpring Net-Ops and Enterprise staff
• Participate in staff meetings and new member orientation, as requested by management.

Key Requirements and Technology Experience:

• Customer – Centricity
• Compassion
• Composure
• Ethics and Values
• Integrity and Trust
• Patience
• Informing
• Listening
• Cross Cultural Sensitivity
• High School diploma or GED equivalent
• One year experience in a physician office environment or practice management setting
• Computer Skills.
• College Degree.
• Three years experience in a physician office environment or practice setting
• Experience with physician office or hospital patient scheduling/registration/billing.
• Previous clinic experience, dependable, passion for people.

Our client is a leading Health 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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