Healthcare Organization Operations Administrator
Staffing Solutions Organization
Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.
**Healthcare Organizational Operations Administrator - Albany, NY**
**DMDD - 1470**
**Summary**
The Division of Medical and Dental Directors, Bureau of Medical Review is recruiting for a Healthcare Organizational Operations Administrator to assist the Bureau in day-to-day operations for the pended claims unit. The Bureau of Medical Review is responsible for prior approval and pre-payment review of medical equipment and services, policy development as well as fraud, waste, and abuse monitoring for the New York State Medicaid.
**Responsibilities include:**
+ Review medical claims according to written procedures
+ Answer routine phone calls about claims review activities
+ Escalate issues & complex claims
+ Maintain a positive, professional demeanor always
+ All other activities as may be deemed necessary
**Preferred Qualifications:**
+ Proficient in the use of standard office technology
+ Excellent organizational skills including the ability to prioritize work assignments
+ Ability to be flexible, innovative, and work independently
+ Strong communication skills (written and verbal) with the ability to handle internal and external calls/inquiries
+ Maintains a positive, professional demeanor
+ Previous customer service experience
**Basic Qualifications:**
+ High School graduate or equivalent
+ 3 years administrative experience
_*Employees must follow established work schedules. The usual work schedule is 37.5 hours per week, Monday through Friday. Normal work hours are 8:30 a.m. to 4:30 p.m. unless otherwise specified by the supervisor, this includes a half hour unpaid lunch break. Total work hours must equal 37.5 hours per week._
Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.
Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an Employment Visa at this time.
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an e-Verify participant.
**Job Details**
**Pay Type** **Hourly**
**Education Level** **Equivalent Experience**
**Telecommute Percentage** **50**
**Hiring Min Rate** **17 USD**
**Hiring Max Rate** **20 USD**
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