Company Overview
Our client is a healthcare services organization focused on supporting hospitals and provider networks in achieving optimal financial outcomes through effective revenue cycle operations. They are committed to accuracy, compliance, and operational efficiency, ensuring that documentation and payer interactions are handled with precision. Their team driven environment promotes accountability, collaboration, and continuous improvement in support of healthcare providers.
Role Summary
The Staff Assistant III supports denials operations by managing administrative processes and ensuring timely and accurate submission of documentation to insurance payers. This role plays a critical part in advancing claims through the appeals and reconsideration process, directly impacting reimbursement outcomes.
In this position, you will collaborate with account owners to prepare, review, and submit documentation while maintaining detailed system updates. You will ensure compliance with established protocols, identify and escalate issues as needed, and contribute to efficient workflow execution across multiple accounts and systems.
Key Responsibilities
• Prepare, compile, and submit required documentation to insurance payers in support of appeals and claims processes
• Ensure accuracy and completeness of all submitted documentation prior to transmission
• Maintain clear and detailed notes in internal and external systems regarding submission status and updates
• Collaborate closely with account owners to support timely processing of accounts
• Adhere to internal processes, payer guidelines, and organizational protocols
• Escalate payer or submission related issues to leadership as necessary
• Maintain confidentiality and secure handling of system access credentials
• Support additional administrative tasks and special projects as assigned
Key Requirements
• 1 to 3 years of experience in healthcare operations, payer documentation, or administrative support preferred
• High School Diploma or GED required, some college coursework in health or business administration preferred
• Familiarity with insurance payer processes, documentation requirements, and submission protocols
• Proficiency with Microsoft Office tools including Outlook, Word, and Excel
• Ability to produce clear, grammatically accurate business correspondence
• Strong attention to detail and organizational skills with the ability to manage multiple tasks
• Effective problem solving skills with the ability to prioritize and follow through on assignments
• Strong communication skills with the ability to collaborate in a team oriented environment
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