Associate Director of Business Process

Job Summary

Managing the claim and appeal operations, the full-time Associate Director of Business Process will oversee administrative intake, coordinate service requests, and manage the referral process in a remote setting.

Key responsibilities

• Manage administrative intake of members and coordinate requests for services from clinics and providers
• Oversee the referral process, including the processing of incoming and outgoing referrals and prior authorizations
• Handle inquiries and resolutions from members and providers while maintaining accurate patient records

Required qualifications

• High School Diploma or GED
• 1+ years of experience in a medical office position, including scheduling and insurance verification
• 1+ years of computer proficiency, including Microsoft Outlook, Excel, and Word