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Residency in or relocation to Louisiana is preferred for all positions.

Job Summary: The Medical Management Administrative Assistant will assist in all areas of the Medical Management Department to obtain the common goal of improving the Quality of Care within Blue Cross Blue Shield of Louisiana.

Essential Duties & Responsibilities:

• Persistently check the main fax lines and distribute each fax accordingly into the workflow or in an email
• Researches Acuity and/or Vnet to determine if incoming requests are duplications of existing authorizations or new requests, forwarding misrouted requests to the appropriate departments, and initiating workflow to the appropriate persons within the department
• Appropriate labeling and identifying time/date of receipt of authorization requests along with the processing priority (standard or expedited) for each incoming request
• Monitor all documents in the workflow to ensure that everything has been properly routed including pharmacy faxes
• Monitor all nurses that are supposed to be in the workflow to ensure that everything has been properly routed and monitor all requests received through email
• Manage all Medical Management letters
• Assign and distribute emails containing photos and hard-copy photos
• Scan documents

Marginal Duties:

• Mail and fax routing and distribution for the Medical Management Department including physical and electronic documents, utilizing the Workflow module in VNet
• Maintenance of the Workflow module in regard to nurse activity and routing functions for all clinical departments
• Quality review of all letters generated through the Acuity system regarding authorizations for Commercial and Medicare
• Complete the mail process and deliver timely to the mailroom
• Prepare and batch all physical documentation received and/or utilized in the Medical Management Department for loading into the OnBase system
• Other duties as assigned

Knowledge, Skills, and Abilities:

• High School Diploma is required.
• Associate Degree is preferred.
• Ability to work with supervision and follow established policies and procedures
• Exceptional interpersonal, verbal, and written communication skills
• Customer service-oriented attitude/behavior

Supervisory Responsibilities:

• None

Supervision Received:

• Works under direct supervision of the Medical Management Outpatient Coordinators and the general supervision of the Director of Medical Management.

Working Conditions:

• Overtime and rotating holidays may be occasionally required

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit, use hands and fingers, handle or feel, reach with hands and arms, and talk or hear. The employee is frequently required to stand and walk. The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 30 pounds.

Additional Accountabilities and Essential Functions
The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

• Perform other job-related duties as assigned, within your scope of responsibilities.
• Job duties are performed in a normal and clean office environment with normal noise levels.
• Work is predominately done while standing or sitting.
• The ability to comprehend, document, calculate, visualize, and analyze are required.

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An Equal Opportunity Employer

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Additional Information

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