GENEX Administrative Support 2 Salary in the United States

Company Overview

Mitchell & Genex have Merged

Mitchell is a trusted software and service provider to the Property & Casualty Claims and collision repair industries as well as risk management professionals. We provide technology and services that simplify claims handling, repair processes and pharmacy transactions with best in class clinical management and cost containment solutions. Genex helps injured workers return to their jobs in a safe and efficient manner through compassionate case management, reducing health care costs and disability expenses for our customers.

Together, we bring two industry leaders in software and service committed to delivering a first-class experience to the customers, partners and markets we serve. We offer a complete suite of technology enabled solutions, and a proven managed care service mix, allowing us to deliver better outcomes to our clients for their businesses, their employees and their customers.

Job Description

DUTIES AND RESPONSIBILITIES

• Receives inbound requests for authorization from client claims staff, third party claims staff and providers

• Enters pertinent data into company software portal for review by clinical staff

• Screens information received to ensure clarity and completeness
• Assigns the information to the correct clinical reviewer per treatment type and scope of practice
• Monitors UR process for adherence to time frames
• Maintains current knowledge and skills relative to procedure changes, software or workflow updates, and regulation additions or modifications
• Responds to phone and electronic communications from UR stakeholders
• Ensures that all requests for authorization are entered into company software on a same day basis
• Performs other duties as assigned by the UR Specialist Lead or Branch Manager - UM

Qualifications

KNOWLEDGE, SKILLS, AND ABILITIES

• Ability to perform assigned duties with time pressures
• Ability to utilize personal computer and various software packages
• Ability to communicate effectively
• Ability to work independently and maintain team goal oriented self-initiative

EDUCATION AND EXPERIENCE

• Data entry or medical front office experience preferred

PHYSICAL DEMANDS

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Constant sitting, finger movement, speaking clearly, hearing conversationally, and seeing far and near.

WORK ENVIRONMENT

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

MENTAL DEMANDS

• The mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Special Requirements

• Ability to work effectively with a diverse community.

Mitchell International, an equal opportunity employer, values the diversity of our workforce and the knowledge of our people.  Mitchell will not discriminate against an applicant or employee on the basis of race, color, religion, national origin, ancestry, sex/gender, age, physical or mental disability, military or veteran status, genetic information, sexual orientation, gender identity, gender expression, marital status, or any other characteristic protected by applicable federal, state or local law.