Medical Management Outpatient Administrative Assistant (Monroe, LA)

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

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

All BCBSLA EMPLOYEES please apply through Workday Careers.

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Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account.

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.

In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free.

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

JOB CATEGORY: Administration, Facilities & Secretarial