Administrative Assistant III-Claims… at Alliance Health · Morrisvil…

The Administrative Assistant III provides administrative support to the claims team to ensure the efficient operation of the team, including handling high volume incoming and outgoing mail and high-volume inbound calls.

The Administrative Assistant III also completes specific claims-related responsibilities including performing a range of clerical tasks, maintaining databases and spreadsheets, conducting research, preparing reports, handling inquiries, receiving/screening/keying paper claims, and other activities that require knowledge of program operations, policies, and processes.

Responsibilities & Duties

Provide Administrative Support to Manager and Team

• Maintain files, reports and other data, including aggregating data from multiple sources and uploading documents to various systems within Alliance
• Manage organizational and departmental records and report on activities involving implementation of program objectives using existing procedures or devising new methods as necessary
• Assign correspondence to appropriate individuals for preparation of replies
• Review completed assignments for conformity with instructions, attachment of pertinent reference materials and general completeness
• Writes, edits, or coordinates the preparation of correspondence or other printed material according to well established standards or readily available sources
• Maintain records in Alliance Claims System (ACS) and Salesforce systems as assigned
• Develop and/or revise work procedures and methods including necessary form design

Support Data Maintenance and Reporting

• Collect data and research various systems to cross check and verify information
• Develop/Maintain departmental spreadsheets and databases
• Assist with preparation of departmental dashboard representing department/team performance
• Assist with tracking reports for departmental supervision activities
• Data-entry and other projects as assigned

Paper Claims Handling

• Receive and document paper claims received from providers
• Maintain record of providers with active approved Paper Claims Submission Request forms
• Screen received paper claims to determine if documents should be keyed into Alliance Claims System (ACS) or mailed back
• Key appropriate claims with accuracy and following legal document guidelines
• Mail back with appropriate correspondence when claims should not be keyed
• Outreach to providers regarding EDI availability and configuration
• Document in SharePoint all data regarding claims received, keyed, mailed back

Minimum Requirements

Education & Experience

Required:

High School diploma or equivalent and four (4) years of experience involving substantial public contact, information gathering, and written communication;

Or

Completion of a two-year business administration program and two (2) years of related experience;

Or

Bachelor’s degree in business administration, public administration, or other related fields.

Knowledge, Skills, & Abilities

• Knowledge of office management techniques.
• Knowledge of Microsoft Office products.
• Skill in communicating, both verbally and in writing.
• Skill in organizing workflow and coordinating activities.
• Skill in developing presentations, presentation materials, and reports.
• Ability to use audiovisual equipment and to train others in its use.
• Ability to establish and maintain effective working relationships with subordinates, peers, management, and the general public.
• Ability to coordinate a variety of resources in gathering information and independently answering inquiries.
• Ability to exercise independent judgement and discretion.
• Ability to plan and supervise the work of others, if applicable.
• Ability to analyze and interpret policy and procedural guidelines.
• Ability to resolve problems and questions independently.

Salary Range

$20.32 - $25.91/Hourly

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:

• Medical, Dental, Vision, Life, Long and Short Term Disability
• Generous retirement savings plan
• Flexible work schedules including hybrid/remote options
• Paid time off including vacation, sick leave, holiday, management leave
• Dress flexibility