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Healthcare Administrative Analyst

ICBD Holdings

Healthcare Administrative Analyst – Exact Billing Solutions (EBS) – Lauderdale Lakes, FL (On‑site) The Healthcare Administrative Analyst provides clerical, administrative, and data entry support to the Utilization Review (UR) and Single Case Agreement (SCA) departments. Responsibilities include scheduling peer reviews, contacting providers for authorization status updates, and entering and maintaining data such as payor information, dates of service, rates, and CPT codes. Essential Duties & Responsibilities General Administrative & Clerical Functions Provide clerical and administrative support to UR and SCA departments. Enter, update, and maintain data in internal systems, trackers, logs, and electronic files. Prepare, verify, organize, and upload documentation in accordance with established procedures. Maintain accurate and complete records, tickets, and files. Utilization Review (UR) Administrative Support Enter and update authorization and determination information as provided. Conduct authorization status checks via payor calls and portal access. Accurately document determination outcomes without interpretation. Monitor ticket queues and aging reports to identify items requiring follow‑up. Escalate unresolved or out‑of‑scope issues to leadership as directed. Single Case Agreement (SCA) Administrative Support Maintain and update SCA tickets, files, spreadsheets, and tracking tools. Assist with in‑network vetting by gathering and organizing required information. Enter and update authorization‑related data such as codes, effective dates, and rates as directed. Support recurring administrative tasks and priority SCA projects. Data Integrity & Quality Assurance Verify accuracy of dates, codes, rates, and required fields per established standards. Correct clerical errors within scope and escalate discrepancies when necessary. Perform routine quality checks to ensure data accuracy, completeness, and consistency. Systems & Tools Utilize internal proprietary systems in accordance with training and procedures. Use Microsoft Excel for tracking, sorting, filtering, and maintaining data. Maintain organized electronic records in compliance with company policies. Special Assignments Complete additional administrative tasks and special projects as assigned by management, following provided instructions and deadlines. Qualifications High school diploma or equivalent. Two years of clerical experience, including at least one year working with medical terminology and record‑keeping systems. Strong working knowledge of Microsoft Excel. Ability to learn and navigate internal systems. Strong attention to detail and ability to follow standardized procedures. Ability to manage workload, meet deadlines, and follow direction. Willingness to complete drug and background screenings. Benefits 21 paid days off (15 days of PTO, which increases with tenure, plus 6 holidays). Flexible Spending Account (FSA) and Health Savings Account (HSA) options. Medical, dental, vision, long‑term disability, and life insurance. Generous 401(k) with up to 6% employer match. Exact Billing Solutions participates in the U.S. Department of Homeland Security E‑Verify program. #J-18808-Ljbffr

Vacancy posted 2 days ago
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