Administrative Associate

About the Company

Healthcare Quality Strategies, Inc. (HQSI) is a premier organization focused on delivering superior medical review services to healthcare providers, insurers, and patients. Utilizing advanced technology and a skilled team, HQSI ensures thorough and efficient medical case reviews. The company cultivates a collaborative atmosphere that values integrity, innovation, and ongoing improvement. HQSI is dedicated to upholding the highest levels of confidentiality and adherence to HIPAA/HITECH regulations, guaranteeing the secure handling of all client and patient data.

About the Role

The Medical Review Administrative Coordinator plays a crucial role in supporting HQSI’s Medical Review Services department. This position involves performing key administrative tasks related to case intake, processing, assignment, review, and finalization. The role is essential for maintaining accurate and efficient case processing and ensuring a smooth operational flow within the department. Responsibilities include managing documentation, overseeing case progression, and handling both internal and external customer service interactions. This is a remote position, with the potential for occasional on-site duties as business needs evolve. The role is salaried and non-exempt, with an annual compensation of $55,000 for a standard 40-hour workweek.

Qualifications

• A high school diploma or GED is the minimum requirement; further college coursework or vocational training is advantageous.
• A minimum of three years of experience in a healthcare office environment, such as health insurance, a physician's office, hospital, or outpatient facility.
• Proficiency in the Microsoft Office Suite, including Word, Excel, Outlook, and Adobe applications.
• Prior experience with document and project management software.
• Familiarity with medical terminology and healthcare compliance standards like HIPAA/HITECH.
• Demonstrated strong organizational abilities and the capacity to manage multiple tasks effectively.
• Excellent written and verbal communication skills.
• The ability to work productively in both remote and office settings.
• Previous experience in customer service, case management, or administrative functions within the healthcare sector.

Responsibilities

• Processing incoming paper charts through scanning and logging; extracting and transferring electronic charts into the designated system.
• Evaluating and converting submitted cases within the document management system, verifying the completeness and accuracy of all documentation.
• Assigning cases to Non-Physician Reviewers (NPRs), Physician Reviewers (PRs), and other allied healthcare professionals.
• Monitoring the progress of tasks and case reviews to ensure timely completion.
• Drafting final determination letters and meticulously proofreading and formulating final documents for approval.
• Tracking the reception and finalization of Conflict of Interest statements from all reviewers.
• Generating and analyzing reports to effectively manage workflow, case volumes, and the allocation of resources.
• Providing support for credentialing activities and assisting with physician recruitment outreach as required.
• Managing multiple email inboxes and handling correspondence efficiently.
• Supporting documentation and case tracking procedures, ensuring strict adherence to confidentiality protocols.

Benefits

• Comprehensive medical, dental, and vision insurance plans.
• Access to Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA).
• Company-provided group life insurance and accidental death & dismemberment (AD&D) coverage.
• Options for voluntary life and AD&D insurance.
• A 401(k) retirement savings plan that includes a company matching contribution.
• The opportunity to work remotely within a supportive and collaborative team environment.
• Ongoing support for professional development and career advancement.

Equal Opportunity Employer

Healthcare Quality Strategies, Inc. is an equal opportunity employer committed to diversity and inclusion. We strive to create an equitable environment for all employees and applicants, prohibiting discrimination based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by law. We warmly encourage individuals from all backgrounds to apply and become part of our team.