Administrative Support Representative

TL;DR

Administrative Support Representative (Healthcare): Acting as a liaison between Medical Necessity and Clinical Quality departments to ensure accurate processing of review forms and regulatory compliance. Focus on high-volume data entry, provider/member communication, and maintaining strict documentation standards in a remote environment.

Location: Must be based in the United States

Salary: $15.00/hr

Company

hirify.global is a national health services organization specializing in population health, fitness, and specialty health care programs.

What you will do

• Act as a liaison between the Medical Necessity/Benefit Administration and Clinical Quality Evaluation departments.
• Research and track Medical Necessity Review Forms (MNR Forms) to ensure timely processing.
• Conduct high-volume verbal notifications to providers and members in accordance with state regulations.
• Document all communications and actions in proprietary systems with high accuracy.
• Prepare, bundle, and deliver review forms and reports to internal teams.
• Manage batch faxing processes and assist with manual mailings for failed transmissions.

Requirements

• Must be based in the United States
• High School Diploma or GED Certificate required.
• 2 years of data entry experience and working knowledge of word processing and spreadsheets.
• Reliable home internet connection with a minimum of 50 down/10 up Mbps.
• Ability to participate in video meetings and maintain a dedicated work-from-home area.
• Proficiency in Microsoft Word and Excel.

Nice to have

• Experience with Microsoft Access.
• Internal data entry experience at hirify.global.

Culture & Benefits

• Remote work environment with company-provided technology equipment.
• Equal Opportunity Employer committed to diversity and inclusion.
• Structured environment with clear performance standards and daily call quotas.