Must possess valid Arizona Driver's License. In-state and out-of-state travel is required.

SOAZ – Posting ID # 5080 -AZICA - Medical Resource Office (MRO) - Administrative Support

Looking for an Administrative Specialist to provide administrative support in the Medical Resources Office (MRO) by appropriately processing phone calls, faxes, email, mail and other interactions.

Job duties:

Analysis and application of Current Procedural Terminology (CPT) coding rules, administrative rules, and statutes.

Manage the administrative peer review process and ensures that each element is completed according to the applicable rules and statutes.

Provide support for the Physician's and Pharmaceutical Fee Schedule by analyzing data, preparing reports and documenting progress.

Participate in agency programs to improve overall function.

Participate in quality improvement exercises.

Medical document preparation.

Review and analyze documents that demonstrate potential billing conflicts and provide appropriate responses for the Informal Payment Dispute Resolution Program.

Analyze data and provide reports that outline healthcare utilization by injured workers.

Analyze the issue and provide information and resources as needed. Prepare and send official communication to stakeholders when direction regarding the elements of the MRO is required.

Skills Required:

Utilization review procedures and Current Procedural Terminology (CPT) coding.

Medical Terminology.

Medical document preparation. Medical information maintenance and privacy laws.

Workers' Compensation laws and rules.

ICD-10 use and meaning.

Basic data analysis.

Use of Microsoft and Google Workspace.

Use of basic office equipment.

Strong written and verbal skills.

Analyze complex issues and provide correct responses.

Manage complex issues.