Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare!

Our Utilization Management department located in Newark Delaware, DE is looking for a full time Administrative Assistant II to use internal and external resources to resolve social, emotional, and environmental needs by verifying benefits, acquiring insurance authorizations, placing orders to vendors and accurately entering data into clinical information systems

The ideal candidate will be well organized, detail oriented and have the ability to multitask. Candidate to complete tasks and duties within a prescribed timeline. Strong computer skills as well as good verbal and written communication skills.

Benefits of working at ChristianaCare

• Generous PTO, Competitive Pay & Robust Benefits Package.
• 403B company match and Tuition Reimbursement
• 12 weeks Paid Parental Leave

The responsibilities of the Administrative Assistant II will include;

Provides administrative support to the team; assists with copying, faxing, form completion, addressing emails and Medicare letters by department standards.

Assists with completion of Utilization Management duties including providing clinical information to insurance companies to acquire authorizations and updating patient records timely.

Assists in contacting patient and families to discuss level of care, status changes, and appeal options with insurance.

Assist in scheduling phone calls and meetings for members of the UM team with payer representatives.

Establish a knowledge base for medical necessity requirements for all major insurance companies.

Assists with routine calls, emails, faxes from insurance companies.

Assists with general support services and office coverage as staffing needs dictate.

Establishes collaborative relationships with Utilization Managers/Clinical Documentation Improvement Specialist / Care Managers and other health care staff

Enters accurate data, authorization/referral entries into computer system

Calls insurance companies for authorization, benefit verification and coverage information

Executes accurate use of the telephone and voice mail systems. Incorporates services standards for telephone contact into daily activities

Provides superior customer service to providers and members.

Communicates optimally with the Utilization Management, Clinical Documentation Improvement, and Care Management department as well as other departments in the Christiana Care Health System.

Office Hours: Day Shift - 8:00am - 4:30pm

Qualifications:

• High School diploma or equivalent required.
• Five years of experience in a support role in Case Management/ Utilization Management will be considered equivalent to an associate degree in social work or related field/behavioral sciences.
• Home health care and/ or managed care experience preferred.

About ChristianaCare

ChristianaCare was recognized as one of "America's 100 Best Hospitals" by Healthgrades, selected as one of the Most Wired Hospitals in the US by the American Hospital Association, and ranked by US News & World Report as the #3 'Best Hospital' in the Philadelphia region out of more than 90 hospitals. To learn more click on this link https://www.youtube.com/watch?v=AZtpU0ib3t8

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.