Medical Office Specialist-Behavioral Health & Recovery Services - Extra Help (Open)
San Mateo County
- San Mateo, CA
- $5,652-7,070 per month
- Permanent
- Part-time
Support outpatient utilization management; track timelines, requests, and provide monthly reports on completed tasks; help with formatting spreadsheets, creating PDF referral forms, and completing complex spreadsheet analysis in Excel; write formal letters and input data from the electronic medical record (EMR) database; verify insurance eligibility; input demographic and insurance eligibility in EMR database, Avatar; oversee and perform a variety of complex administrative tasks that correspond to the compliance mandates of DHCS and CMS; and process in or out of county requests using knowledge of specialized out of county activities.The Specialty Private Provider Network (SPPN) MOS Position
Support the matching process of Serious Mental Illness (SMI) clients to private providers; perform the reauthorization process; verify insurance eligibility; track requests on the Excel tracking log; track provider openings with clients who need care; send correspondence to BHRS clinic staff, contracts team, private providers, and the insurance team; process private provider payment authorizations; process referrals; process treatment plan update forms; create updated referral processes and workflows; and track provider requests for support and trainings.Ideal candidate will possess:
- Demonstrated proficiency in Microsoft Excel
- Experience processing health care insurance
- Ability to perform a variety of complex medical office administrative tasks
- Experience working in a high-volume health care environment
- Demonstrated skill in organizing and prioritizing work to meet deadlines
- Ability to work independently
- Demonstrated ability to establish, maintain, and foster positive and effective working relationships with those contacted in the course of work
- Excellent verbal and written communication skills
- Cover letter with responses to Supplemental Questions (maximum of 2 pages)
- Resume
- Give examples that demonstrate your experience using Excel to sort data, use and create formulas, create reports and creating fillable forms. Be detailed and complete in your response. Additionally, list other Microsoft applications in which you are proficient.
- Describe your experience working in a high-volume health care environment handling insurance processes, various authorizations, and professional written correspondence. If you have no health care experience, please explain your professional skills that would help you in this role. Be detailed and complete in your response.
- Describe how you organize your workload to manage multiple specialized tasks and meet mandated deadlines? Be detailed and complete in your response.