Sr Admin - Arbitration

Description & Requirements

Maximus is currently hiring for a Sr.

Admin - Arbitration to join our NY State Arbitration team.

This is a remote opportunity.

The Sr.

Admin- Arbitration will provide comprehensive administrative support to the New York IDR team.

This role involves participation in daily operations, coordinating communications, and accurate data input to ensure the smooth functioning of the IDR process.

Essential Duties and Responsibilities:
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position

- Function as a Subject Matter Expert in one or more process areas.

- Analyze data submitted for Independent Medical Review.

- Collect and analyze incoming data and reports from treatment providers, facilities, participants, labs and health plans to input necessary information into the system.

- Respond to incoming calls from clients, health plans, providers and enrollees regarding case status, questions about the program, and the appeals process.

Minimum Requirements

- Associate degree with 2+ years' experience.
- Experience in lieu of an Associate degree (HS Diploma or GED and 4+ years of experience) also considered.

- Strong organizational and multitasking abilities

- Excellent written and verbal communication skills

- Ability to work across multiple platforms

- Proficiency in Microsoft Office Suite (Word, Excel, Outlook, PowerPoint)

- Experience with Salesforce platform highly preferred

- Attention to detail and accuracy

- Ability to work independently as a part of a team

- Familiarity with insurance documentation, explanation of benefits, and/or claim forms highly preferred

- Knowledge of CPT codes preferred

Please note: For this position Maximus will provide equipment to use.

Home Office Requirements:

- Internet speed of 20mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net)

- Minimum 5mpbs upload speed

- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router

- Private work area and adequate power source

- Must currently and permanently reside in the Continental US

EEO Statement

Active military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce.

We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country.

We're proud of our connections to organizations dedicated to serving veterans and their families.

If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you....