Job details

Review Assistant III

The Review Assistant III is responsible for answering call center calls, as well as, providing advanced support for the medical and exception to policy review process including ensuring appropriate information is received, documented, maintained, and confidentially distributed to appropriate team members for activities to be completed appropriately and within required timeframes. Mentors and orients other review assistants. Manages support task workflow including coordinating workload with other assistants.

Provides advanced office support for team and/or department, including creating and editing documents, answering phones, responding to questions, and distributing documents or reports.

Essential Functions

Ensures data integrity by performing data entry of information received from various sources. Gathers, coordinates, distributes, tracks, and maintains highly confidential medical records according to Company, contract, and/or federal/state regulations. Mentors and orients other review assistants. Manages support task workflow including coordinating workload with other assistants.
Provides advanced office support for team and/or department, including creating and editing documents, answering phones, responding to questions, distributing documents or reports, and managing claims information.
Ensures quality customer service by responding to phone inquiries from members, physicians, and providers. Prioritizes workload to meet program or regulatory time frames.

Requirements

High school diploma or general education degree (GED)
2 years related experience and/or training in medical terminology/transcription; or equivalent combination of education and experience
Strong organizational skills
Ability to communicate effectively, both orally and written
Attention to detail
Previous customer service experience is preferred
Knowledge of medical terminology is preferred

COMMITMENT TO SAFETY

As part of our commitment to health and safety, some roles may require additional health protocols (i.e. personal protective equipment or vaccination)

Who We Are:

Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.

Health has changed a lot through our 50-year history, but what has remained constant is that we care deeply about who we serve and what we do. Our success is built on our ability to adapt, respond to client needs, and offer innovative solutions.

Our business is our people and we’re looking for talented individuals who not only believe in our mission but who are ready to take ownership and make a difference in the lives of people, in the world of health. Learn more about who we are and what we do at www.telligen.com/about-us

Are you Ready?

We’re on a mission to transform lives and economies by improving health and getting there means following through on our values of Ownership, Community, Ingenuity & Integrity.

Ownership: As a 100% employee-owned company, our employee-owners drive our business, our solutions, and share in our success. When employee-owners grow and thrive, we all win.

Community: Putting others first and being a good corporate partner wherever we work, and play makes us who we are. We Show Up. For our clients, for our communities, and for each other.

Ingenuity: We’re a team of passionate professionals driven by hard work and big ideas. We understand that high-value breakthroughs come from taking calculated risks. If it will benefit our clients and advance our mission, we’re all ears. We celebrate free-thinking and challenge the status quo, so brainstorm away!

Integrity: Smiling faces (virtual or in-person) are the norm around here. We enjoy a friendly work environment where everyone is dedicated to mutual trust, respect, and excellence.

Thank you for your interest in Telligen!

Telligen and our affiliates are Affirmative Action, Equal Opportunity Employers (EOE/M/F/Vet/Disability), and E-Verify Participants.

Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time.

Telligen does not accept 3rd party solicitations from outside staffing firms.

Telligen Glassdoor Company Review

4.2

Telligen DE&I Review

No rating

CEO of Telligen

Jeff Chungath

Approve of CEO

Average salary estimate

$50000 / YEARLY (est.)

min

max

$40000K

$60000K

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What You Should Know About Review Assistant III, Telligen

Are you looking for an exciting opportunity to make a difference in healthcare? Join Telligen as a Review Assistant III in West Des Moines, IA! In this role, you'll be the backbone of our call center operations, answering calls and providing advanced support for medical and policy reviews. You’ll ensure that all information is accurately documented and securely maintained before it's shared with the right team members. One of the perks of being a Review Assistant III is mentoring and guiding new colleagues, making this a fantastic opportunity for those who enjoy leadership. Additionally, you’ll get to manage workflow and coordinate tasks with other assistants, creating a dynamic work environment. Don't worry, you'll have the chance to flex your organizational skills, as you’ll be handling everything from creating documents to managing claims information. Plus, with your strong communication skills, you'll ensure that our customers receive the quality service they deserve. Ideal candidates will have a high school diploma or GED along with two years of related experience, but if you're a fast learner with a knack for medical terminology, you could be the perfect fit! At Telligen, we pride ourselves on our mission-driven culture and dedication to improving lives. So, if you’re passionate about making an impact and working collaboratively in a great environment, we’d love to hear from you!

Frequently Asked Questions (FAQs) for Review Assistant III Role at Telligen

What are the main responsibilities of a Review Assistant III at Telligen?

As a Review Assistant III at Telligen, your primary responsibilities will include answering call center inquiries, managing advanced support for the medical review process, and ensuring that confidential information is properly documented and distributed. You will also mentor new review assistants and help manage task workflows within the team.