Altoona, Pennsylvania, USA
1 day ago
Medical Review Assistant (Remote)

Summary: The primary responsibility would be to assist admission nursing in obtaining information needed for the pre-admission medical review process.


Essential Duties and Responsibilities:
• Assist admission nursing in obtaining clinical documentation or other information from referral sources.
• Following up with referral sources to ensure information is obtained in a timely manner.
• Complete all documentation associated with calls/outreaches.
• Monitoring timeframes on incomplete pre-admission medical reviews.
• Uploading clinical documentation to appropriate programs.
• Must exercise discretion and maintain confidentiality with regard to all company information.
• Completion of all required trainings as designated by the company and accreditation/licensing entitles.
• Other duties as assigned.


Supervisory Responsibilities
• None


Required Qualifications
• High School Diploma or equivalent required.
• Active certification as a certified medical assistant preferred, experience in drug and alcohol setting is strongly preferred.


Job Knowledge, Skills, and Abilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Excellent oral and written communication and interpersonal skills
• Sound clinical judgment and excellent clinical skills
• Ability to problem solve by gathering and analyzing information
• Ability to learn new systems including electronic medical records
• Ability to handle a crisis and or potential risk situation and react appropriately
• A working knowledge of federal and state standards as well as regulating body and compliance standards.


Physical Demands
While performing the duties of this job, the employee is frequently required to talk or hear. The
employee is regularly required to sit, use hands to finger, handle, or feel, and reach with hands
and arms. The employee is occasionally required to climb stairs, stand, walk, stoop, twist, kneel,
or crouch. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilitie
required by this job include close vision, distance vision, color vision, peripheral vision, depth
Perception, and ability to adjust focus.


Work Environment
• The noise level in the work environment is usually moderately quiet & indoors. This position will require local travel. This position will be scheduled based on operational need & will be required to provide own transportation. Incumbent may be exposed to virus, disease, and/or infection from clients in the work environment. Incumbent may be exposed to traumatic situations (i.e. psychiatric).
• This position is remote.

Total Rewards:

Medical, Dental, and Vision Insurance Flexible Spending Accounts Life Insurance Paid Time Off 401(k) with Company Match Tuition Reimbursement Employee Recognition Programs Referral Bonus opportunities And More!

Pyramid CORE Values:

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent and ethical when dealing with clients, staff and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Want to know more?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: https://bit.ly/Pyramid-Careers.

 

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

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