Review Assistant III

The Review Assistant III is responsible for answering call center calls, as well as, providing advanced support for the medical and exception to policy review process including ensuring appropriate information is received, documented, maintained, and confidentially distributed to appropriate team members for activities to be completed appropriately and within required timeframes. Mentors and orients other review assistants. Manages support task workflow including coordinating workload with other assistants.
Provides advanced office support for team and/or department, including creating and editing documents, answering phones, responding to questions, and distributing documents or reports.

Essential Functions

• Ensures data integrity by performing data entry of information received from various sources. Gathers, coordinates, distributes, tracks, and maintains highly confidential medical records according to Company, contract, and/or federal/state regulations. Mentors and orients other review assistants. Manages support task workflow including coordinating workload with other assistants.
• Provides advanced office support for team and/or department, including creating and editing documents, answering phones, responding to questions, distributing documents or reports, and managing claims information.
• Ensures quality customer service by responding to phone inquiries from members, physicians, and providers. Prioritizes workload to meet program or regulatory time frames.

Requirements

• High school diploma or general education degree (GED)
• 2 years related experience and/or training in medical terminology/transcription; or equivalent combination of education and experience
• Strong organizational skills
• Ability to communicate effectively, both orally and written
• Attention to detail
• Previous customer service experience is preferred
• Knowledge of medical terminology is preferred

COMMITMENT TO SAFETYAs part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination) Who We Are: Telligen is one of the most respected population health management organizations in the country.  We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Health has changed a lot through our 50-year history, but what has remained constant is that we care deeply about who we serve and what we do. Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions. Our business is our people and we’re looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health. Learn more about who we are and what we do at www.telligen.com/about-us Are you Ready? We’re on a mission to transform lives and economies by improving health and getting there means following through on our values of Ownership, Community, Ingenuity & Integrity.  Ownership: As a 100% employee-owned company, our employee-owners drive our business, our solutions, and share in our success. When employee-owners grow and thrive, we all win.Community: Putting others first and being a good corporate partner wherever we work, and play makes us who we are. We Show Up. For our clients, for our communities, and for each other.Ingenuity: We’re a team of passionate professionals driven by hard work and big ideas. We understand that high-value breakthroughs come from taking calculated risks. If it will benefit our clients and advance our mission, we’re all ears. We celebrate free-thinking and challenge the status quo, so brainstorm away! Integrity: Smiling faces (virtual or in-person) are the norm around here. We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence.  Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
Telligen and our affiliates are Affirmative Action, Equal Opportunity Employers (EOE/M/F/Vet/Disability), and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. Telligen does not accept 3rd party solicitations from outside staffing firms.