Remote Administrative Support Representative

Job Summary

Working remotely on a part-time basis, the Administrative Support Representative will act as a liaison between the Medical Necessity/Benefits Administration and Clinical Quality Evaluation departments, managing tasks such as processing Medical Necessity Review Forms, handling state-required calls, and maintaining documentation.

Key responsibilities

• Research and prioritize Medical Necessity Review Forms based on turnaround time and staff input
• Conduct state-required calls to providers and members, ensuring compliance with regulations
• Prepare and deliver Medical Necessity Review Forms and reports to the Clinical Quality Evaluation team

Required qualifications

• High School Diploma or GED Certificate required
• 2 years of data entry experience and proficiency in word processing and spreadsheets
• Internal data entry experience at ASH preferred
• Experience with Microsoft Word and Excel required; Microsoft Access experience is highly desirable