$60/hr
Remote Medical Administrative Assistant / Patient Support Specialist
Evolution Sports Group · Centralia, WA
Job description
Remote Medical Administrative Assistant / Patient Support Specialist Miami, Florida, United States $ 40.00 - 60.00 (US Dollar) About the job Remote Medical Administrative Assistant / Patient Support Specialist Remote position Position: Remote Medical Administrative Assistant / Patient Support Specialist Company Overview: Evolution Sports Group is a leading provider of sports medicine and rehabilitation services, dedicated to helping athletes of all levels reach their full potential. We provide cutting-edge treatments and personalized care to help our patients recover from injuries and return to their active lifestyles. Contract Details: This is a full-time, remote position with Evolution Sports Group. As a remote employee, you will have the flexibility to work from any location with a reliable internet connection. This contract is an excellent opportunity for those seeking a remote position in the healthcare industry. Job Description: We are seeking a highly organized and detail-oriented Remote Medical Administrative Assistant / Patient Support Specialist to join our team. In this role, you will be responsible for providing administrative support to our medical team and assisting with patient support services. Key Responsibilities: - Schedule and coordinate appointments for patients with our medical team - Collect and update patient information and medical records - Respond to patient inquiries and provide excellent customer service - Coordinate with insurance companies to verify coverage and submit claims - Maintain confidentiality of patient information and adhere to HIPAA regulations - Assist with billing and invoicing processes - Collaborate with the medical team to ensure efficient and effective patient care - Perform general administrative tasks such as data entry, filing, and organizing documents - Continuously update and maintain patient records and databases - Provide support to the medical team with any other tasks as needed Qualifications: - High school diploma or equivalent, associate or bachelor's degree in healthcare administration or related field preferred - Minimum of 1-2 years of experience in a medical administrative role - Knowledge of medical terminology and procedures - Proficient in Microsoft Office and electronic medical record systems - Excellent communication and interpersonal skills - Ability to multitask and prioritize tasks effectively - Strong attention to detail and accuracy - Experience with insurance verification and billing processes is a plus - Must be able to work independently and as part of a team in a remote setting Why Work with Us: At Evolution Sports Group, we value our employees and strive to create a positive and supportive work environment. As a remote employee, you will have the flexibility to work from any location and have a healthy work-life balance. We offer competitive compensation and benefits, as well as opportunities for growth and development within the company. If you are a motivated and organized individual with a passion for healthcare and helping others, we would love to hear from you. Join our team and make a difference in the lives of athletes and patients around the world. Package Details Compensation & Bonuses Competitive Pay Rate: $40$60/hr based on experience and performance Paid Training: $40/hr for 1-week onboarding training Training Completion Bonus: $700 instant incentive after setup and training Work Schedule Flexible Scheduling: Choose Full-time (3040 hrs/week) or Part-time (20 hrs/week) Options for morning, afternoon, or evening schedules No weekends required unless preferred Remote Work & Equipment 100% Remote Position U.S.-based only Company-Provided Home Office Setup, including: High-performance laptop (Mac or Windows), Dual monitors, Printer/scanner, Headset + workstation accessories, Stipend for internet or electricity support Employee Benefits Package Paid Time Off (PTO) + Paid Sick Days Health, Dental & Vision Insurance Mental Health Support Access (virtual consultations) Paid Holidays 401(k) Retirement Savings Option (where applicable) Career Growth & Stability Guaranteed long-term placement with stable weekly hours Fast-track promotion opportunities every 36 months Company-sponsored certifications & skills training Internal mobility program move into leadership, QA, HR, or project roles Extra Perks Monthly wellness allowance Employee recognition rewards Birthday stipend or digital gift card Annual performance review with salary increase potential
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JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations, and ensuring membersreach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Assesses services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. • Analyzes clinical service requests from members or providers against evidence based clinical guidelines. • Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization / financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate cases to medical directors and presents cases in a consistent and efficient manner. • Requests additional information from members or providers as needed. • Makes appropriate referrals to other clinical programs. • Collaborates with multidisciplinary teams to promote Molina care model. • Adheres to utilization management (UM) policies and procedures. • May work collaboratively with appropriate departments to provide applied behavior analysis (ABA)/behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders. • May approve requests for BHT by reviewing behavioral assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: psychological evaluation requests, comprehensive diagnostic evaluations, functional behavioral assessments, and progress reports. • May perform ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy. • May provide peer to peer consultation BHT in-network providers to support treatment planning and maximize member progress. • May work collaboratively with ABA providers to ensure best service practices for members. • May create and develops forms, recommendations and guidelines and training for BHT service delivery. • May collaborate and coordinate with behavioral health medical directors, and senior medical directors to ensure proper management of the BHT benefit. Required Qualifications • At least 2 years health care experience, including experience in behavioral health and/or hospital acute care, or equivalent combination of relevant education and experience. • Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT) or equivalent behavioral health licensure. License must be active and unrestricted in state of practice. • May require behavioral analyst experience, and/or board certification/licensure as a behavioral analyst (BCBA and/or LBA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication, and ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Recent hospital behavioral health experience in an intensive care unit (ICU) or emergency room. #PJHS3 #LI-AC1 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.