UR Support Tech

Paycom - ATS; Amarillo (TX); On-site; USD 20,000 - 28,000; Full time

Job summary

Paycom - ATS in Amarillo, TX is seeking an administrative assistant to support the Utilization Review team. This on-site role handles precertification intake, phone logging, filing and data reporting, and requires commuting to the office.

Responsibilities include scanning documents, generating precertification letters, and maintaining UR files. Candidates should have a high school diploma, at least 2 years in clerical work, strong WORD/EXCEL skills, and ICD-10/CPT coding experience.

Qualifications

• High school graduate with minimum 2 years experience in a clerical, secretarial or administrative assistant position; must have good written and oral skills; strong organizational, time management and decision making skills; prior ICD-10 and CPT Coding experience; ability to work with a minimum of direction; Excellent computer skills to include Word, Excel and Database experience.

Responsibilities

• Compiling Precertification/UR Intake forms for the UR Specialist/Managed Care Nurse according to procedures, gathering faxed clinical, and forwarding to the UR Specialist/Managed Care Nurse
• Responsible for answering MC phones and logging calls in GBAS according to policy; and referring calls to customer service, or Pre-Determinations as needed.
• Attending renewal meetings, and maintain the Group Grid, and distributing monthly
• Input of Pre-Determination requests, approval, and denials, and communicating with Providers.
• Tracking Denials and appeals for Annual Denial reporting
• Providing direct technical support to the UR Specialist for the following duties:
• Assisting with scanning, and retrieving UM documents; and creating and tracking certified mail items.
• Daily generation of Precertification letters, and maintaining the UR Desktop accurately
• UM File completion and readying files for digital scanning
• Completes other duties as assigned by the manager/supervisor within the scope and education of the individual

Job description

Job Details: Job Location: AMARILLO, TX 79107, Education Level: None, Salary Range: $17.50 - $17.50 Hourly, Travel Percentage: None, Job Shift: Day, Job Category: Admin - Clerical, THIS IS NOT A REMOTE POSITION! ALL CANDIDATES MUST BE WILLING AND ABLE TO COMMUTE TO THE OFFICE IN AMARILLO, TEXAS.

To provide administrative support to the Utilization Review nurse/Managed Care Nurse and Director as well as maintaining files, data, and reporting mechanisms of the department.

Primary Functions:

• Responsible for compiling Precertification/UR Intake forms for the UR Specialist/Managed Care Nurse according to procedures, gathering faxed clinical, and forwarding to the UR Specialist/Managed Care Nurse
• Responsible for answering MC phones and logging calls in GBAS according to policy; and referring calls to customer service, or Pre-Determinations as needed.
• Responsible for attending renewal meetings, and maintain the Group Grid, and distributing monthly
• Responsible for timely input of Pre-Determination requests, approval, and denials, and communicating with Providers.
• Responsible for tracking Denials and appeals for Annual Denial reporting
• Responsible for providing direct technical support to the UR Specialist for the following duties:
• Assisting with scanning, and retrieving UM documents; and creating and tracking certified mail items.
• Responsible for daily generation of Precertification letters, and maintaining the UR Desktop accurately
• Responsible for UM File completion and readying files for digital scanning
• Completes other duties as assigned by the manager/supervisor within the scope and education of the individual

Has the ability to:

• o Getalongwithothers
• o Functionasateamplayer
• o AcceptconstructivecriticismfromthesupervisorormanagerQualifications: Classified as a light job. No lifting normally included in job responsibilities

• Heavy telephone support
• Must sitforlongperiodsoftimewithrestperiods
• Visualacuity requiredto use electronic equipment and readwritteninformation
• Goodhearingisrequired for telephone communications
• Cognitiveskillsarerequiredforreasoningandinterpretationofinformation
• Basic computer skills are required
• Legible handwriting required for documentation
• Mustbeabletocommunicatetactfully,diplomaticallyandeffectively

Requirements: High school graduate with minimum 2 years experience in a clerical, secretarial or administrative assistant position; must have good written and oral skills; strong organizational, time management and decision making skills; prior ICD-10 and CPT Coding experience; ability to work with a minimum of direction; Excellent computer skills to include Word, Excel and Database experience.