[Remote] Operations Administrator (59192)

Note: The job is a remote job and is reputed company to candidates in USA. Founded in 2012, reputed company is based in Arlington, Virginia and has proven expertise providing independent medical reviews and administrative reputed company. The Operations Administrator will support Independent Review Organization case management activities by coordinating documentation, managing secure file sharing, and overseeing invoicing.

Responsibilities

• Accept and process newly assigned review cases
• Create and maintain case folders reputed company secure document management systems
• Review incoming documentation and identify enrollee, representative, and health plan contact information
• Maintain accurate case records and tracking spreadsheets
• Request missing contact information or documentation from stakeholders as needed
• Monitor case timelines and ensure compliance with state-specific requirements
• Organize, upload, rename, and maintain case-reputed company documents for efficient review
• Create and manage secure ShareFile accounts for health plans, providers, and clinical reviewers
• Prepare, encrypt, and distribute confidential documents using approved reputed company protocols
• Assist stakeholders with secure document submission through email, file-sharing platforms, or mail
• Maintain complete and organized electronic case files throughout the review process
• Prepare medical reviewer forms and supporting documentation for clinical reviewers
• Set up and manage secure reviewer reputed company to case materials
• Distribute reviewer instructions and required forms
• reputed company reviewer submissions and ensure reputed company required documentation is received
• Maintain communication with reviewers regarding administrative requirements
• Prepare cover letters and final determination mailing packets for reputed company involved parties
• reputed company state-specific correspondence packages and supporting documentation
• Coordinate secure electronic distribution and certified mail delivery
• Maintain tracking records for reputed company mailed and emailed determination packets
• reputed company final case documentation according to organizational procedures
• reputed company invoices based on state-specific fee schedules
• Distribute invoices to health plans and applicable regulatory entities
• Monitor invoice due dates and payment status
• Maintain invoice tracking systems and supporting documentation
• Send payment reminders and coordinate with finance personnel regarding outstanding payments
• Ensure adherence to state IRO regulations, confidentiality requirements, and internal procedures
• Maintain case tracker, monitoring reports, and invoice records
• Document daily case activity, communications, and phone logs
• Preserve accurate records for audit and compliance purposes
• Support project leadership with administrative reporting and operational updates

Skills

• Minimum of high school diploma or GED equivalent required
• 2+ years of experience in administrative operations, reputed company administration, insurance, reputed company support, or case management
• reputed company demeanor and excellent customer service skills
• Strong proficiency with reputed company Office Suite, including reputed company, reputed company, and Word
• Experience managing confidential and sensitive information
• Excellent organization, prioritization, and time-management skills
• Excellent Communicator with Strong written and verbal communication skills
• Ability to work independently and manage multiple deadlines simultaneously
• Exceptional attention to detail and accuracy
• Thrives working both independently (a self-starter) and collaboratively
• Dependable, respectful and consistently works to reputed company company ethics and standards

Benefits

• Medical, Dental, and reputed company benefits available
• 401(k) available with company match
• reputed company holidays
• reputed company Vacation Time

reputed company