Top 8964 Matrix resources Jobs

Administrative Analyst (Remote)
American Specialty Health Incorporated —Remote
- $16.36 - $17.00 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Administrative experience
- Work from home
Regional Educator – Matrix
l'Oréal —St. Louis, MO
- $58,100 - $82,800 a year
- Full-time
- Cosmetology License
- 5 years
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
11d
Human Resources Generalist
AVI-SPL —Remote
- $59,000 - $79,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid holidays
- Health insurance
Business Analyst
SunStream Business Services —Remote
- $80,000 - $105,000 a year
- Full-time
- Remote
- 5 years
- Mid-level
- Finance
- Health insurance
- Dental insurance
Quick Apply
Director, Impact Intelligence
Save the Children —Remote
- Full-time
- Hybrid work
- English
- Analysis skills
- Doctor of Philosophy
Manager, Program Management
Point32Health —Remote
- $121,943.34 - $182,915.00 a year
- Full-time
- PMP
- 5 years
- Office
- Disability insurance
- Health insurance
Brand Copywriter
Foot Locker —New York, NY
- $55,000 - $63,500 a year
- Full-time
- Mid-level
- Communication skills
- Employee stock purchase plan
- Health insurance
Executive Assistant
Optum —Las Vegas, NV
- $34 - $60 an hour
- Full-time
- Microsoft Outlook
- Pass drug screening
- Research
Quick Apply
5d
Human Resources Business Partner - TX
Photon —Texas
- Full-time
- Bachelor's degree
- Senior level
- Business
Director, State Licensure and Home Care Compliance - Remote
Sharecare —Remote
- Full-time
- Remote
- Research
- Supervising experience
- Bachelor's degree
Workday Reporting Analyst
Herschend Family Entertainment —Peachtree Corners, GA
- Mid-level
- 3 years
- Finance
Manager, Technical Project Management
Disney Experiences —Orlando, FL
- $145,000 - $175,000 a year
- 8 years
- Bachelor's degree
- Mentoring
- Health insurance
Solution Specialist
World Wide Technology Holding, LLC —Remote
- $68,000 - $88,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Profit sharing
- Wellness program
Regional Educator
l'Oréal —Philadelphia, PA
- Full-time
- Cosmetology License
- 5 years
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Designation: HR Executive
QI Spine Clinic —Phoenix, AZ
- Mid-level
- Bachelor's degree
Talent Acquisition Lead
Southland Industries Inc. —Union City, CA
- $130,000 - $150,000 a year
- Remote
- 7 years
- Up to 50% travel
- Bachelor's degree
- Paid parental leave
- AD&D insurance
Sr Sales Training Manager, Bioproduction (remote)
Thermo Fisher Scientific —Florida
- $130,000 - $173,000 a year
- Full-time
- Remote
- Microsoft Excel
- 5 years
- Analysis skills
- Commuter assistance
- Paid parental leave
Project Manager Sr (contract)
Elevance Health —Remote
- $37.35 - $78.37 an hour
- Contract
- Remote
- 5 years
- Bachelor of Science
- Bachelor's degree
- Health savings account
- Disability insurance
ASST. RESEARCH DATA COORDINATOR - HYBRID
University of California, Irvine —Orange, CA
- $27.40 - $45.13 an hour
- Full-time
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Retirement plan
Digital Learning Strategist - SuccessFactors Learning Strategy & Technology
Munich Re America Services —Amelia, OH
- $138,000 - $212,000 a year
- Full-time
- Remote
- 7 years
- English
- Research
- Wellness program
- AD&D insurance

I want to receive the latest job alert for matrix resources

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Administrative Analyst (Remote)

American Specialty Health Incorporated -
Remote

Apply Now

Job Details

Full-time
$16.36 - $17.00 an hour

Benefits

Work from home

Qualifications

High school diploma or GED
Video conferencing software
Video conferences (communication methods)

Full Job Description

American Specialty Health Incorporated (ASH) is seeking an Administrative Analyst to join our Medical Necessity/Benefits Administration department.

The primary purpose of this position is to generate, mail and track member service denial notifications in accordance with URAC, NCQA, CMS, DMHC and ASH standards.

Hourly Salary Range

American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $16.36 to $17.00 Hourly Wage Range.

Remote Worker Guidelines

Remote Worker Guidelines: This position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network. The internet connection must have a consistent 50 down/10 up Mbps minimum internet speed. 100 down/20 up is recommended to support higher quality video meetings.

Responsibilities

Generates and mails member service denial notifications to members, health plans and practitioners.
- Develops and maintains procedures related to member service denial processes.
- Revises service denial letters as mandated by URAC, NCQA, CMS, DMHC and contracted health plans.
- Revises service denial matrix as mandated by URAC, NCQA, CMS, DMHC and contracted health plans.
- Coordinates workflow with MNA and CQE to ensure member service denial notifications are appropriately sent to members, health plans and practitioners.
- Enters necessary information in the system to track service denials notifications.
- Creates and submits member service denial logs to contracted health plans on a daily/monthly basis.
- Reports and tracks service denial notifications turn-around time on a daily/monthly basis.
- Ensures service denial notifications turn-around time standards are consistently met.
- Maintains confidentiality of all member, provider, client and proprietary information
Provides administrative support
- Assists manager with special projects and reports as needed.
- Assists supervisor (s) with administrative duties as needed.
- Assist with the preparation of files for various audits.
- Runs system queries and reports as needed.
Performs other duties as assigned.
Complies with all policies and standards.

Qualifications

High School Diploma or GED certificate required.
2 years progressive experience performing administration duties. Internal experience at ASH required.
Proficient in MS Word, Excel and Access.
Knowledge of Centers for Medicare and Medicaid Services (CMS), Department of Managed Health Care (DMHC) regulations and related notifications helpful.
Demonstrated strong analytical and written communication skills.

Core Competencies

Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
Ability to effectively organize, prioritize, multi-task and manage time.
Demonstrated accuracy and productivity in a changing environment with constant interruptions.
Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.
Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time.

Physical Requirements

Ability to see, speak, and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within and around the facility or Work from Home (WFH) environment. Capable of using a telephone, computer keyboard, and mouse. Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company's legal duty to furnish information.

#LI-Remote #Coordinator # Admin #Healthcare #Coordinate

Apply Now

Refine Your Search

matrix resources jobs

Administrative Analyst (Remote)

Regional Educator – Matrix

Human Resources Generalist

Business Analyst

Director, Impact Intelligence

Manager, Program Management

Brand Copywriter

Executive Assistant

Human Resources Business Partner - TX

Director, State Licensure and Home Care Compliance - Remote

Workday Reporting Analyst

Manager, Technical Project Management

Solution Specialist

Regional Educator

Designation: HR Executive

Talent Acquisition Lead

Sr Sales Training Manager, Bioproduction (remote)

Project Manager Sr (contract)

ASST. RESEARCH DATA COORDINATOR - HYBRID

Digital Learning Strategist - SuccessFactors Learning Strategy & Technology

I want to receive the latest job alert for matrix resources

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected