About this opportunity
Quartz lists this Medical Management Assistant opportunity in onalaska, Wisconsin. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Medical Management AssistantQuartz is seeking detail oriented, well organized individual to support our Utilization Management team as a Medical Management Assistant. This role will work with in the NCQA requirements for completion and turn-around times for requests and cases and assists with adherence to processes, making determinations based on policies/procedures in effect within the department and referring the next level of review when appropriate. This position will also provide detailed customer service to patients, providers and clinic staff regarding pre-service, concurrent and post-service requests with documentation in appropriate systems or databases.Benefits:Full-time, remote work environment availableWork schedule an 8-hour schedule between the hours of 8:00am – 5:00pm, Monday – FridayStarting pay range: $21 - $26.45/hr.ResponsibilitiesProvides appropriate notification to nursing staff of all requests and hospitalizations requiring further reviewMakes approval determinations according to written protocols and guidelines as appropriate. Refers any medical questions or potential denial determinations to nursing staff for further review.Assists in the medical review process for referrals, prior authorizations, inpatient reviews and claims reviews by obtaining appropriate supporting information and documentation to assist in making necessity and benefit determinations as well as reconsiderations.Provides telephone customer service for members, providers, and other Health System or Quartz staff regarding authorization requests, hospitalizations and claim questions.QualificationsHigh school diploma or equivalent1+ year of experience working in a healthcare environment, such as claims processing, medical billing/insurance claims, or related experienceExperience with computer applications such as MS Office and/or EpicPrior data entry and word processing experience is preferredGreat attention to detail and excellent organizational skillsExcellent oral and written communication skills, including phone skillsKnowledge of medical terminology; previous experience in a medical office or medical field is preferredGeneral knowledge of NCQA requirements is preferredThis full-time position will have the option to work in-person from our Madison, WI or Onalaska, WI office, in a hybrid capacity, or as a telecommuter. Hardware and equipment will be provided by the company, but candidates must have access to high-speed Internet to successfully work from home.Quartz offers competitive compensation, an excellent benefit package and a professional culture built on the foundations of Respect, Responsibility and Relationships. Quartz is a federal contractor and supports a safe, drug-free workplace. All employment offers are contingent upon successful completion of a pre-employment criminal background check.Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity, Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Worksite address
onalaska, WI, 54650, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.