Remote Administrative Assistant-Behavioural Health

CDL Human Resource
Kenya
full_time

Job Description

CDL was founded in early 2003 by its current Managing Director Lucy Mmari.Within her 14 year tenure in a well established logistics company, She honed her skill in human resources management and thereafter started CDL.

Remote Administrative Assistant-Behavioural Health

Position Summary

  • The Behavioral Health Administrative Assistant will support the day-to-day administrative operations of a busy behavioral health practice.
  • This is a hands-on remote administrative role involving electronic health records, patient information, data entry, payment processing, pharmacy prior authorizations, insurance-related follow-up, telephone and electronic communication, and general administrative support.

The successful candidate will regularly interact with:

  • Patients.
  • Therapists.
  • Psychologists.
  • Psychiatric providers.
  • Pharmacies.
  • Insurance companies.
  • Healthcare institutions.
  • Internal administrative team members.
  • Because of this regular communication, the person must have excellent written and verbal English communication skills, clear and easily understandable spoken English,professionalism on the telephone, patience, and strong customer-service skills.
  • The ideal candidate has 3–5+ years of administrative experience in a healthcare environment, understands the sensitivity of protected health information, is comfortable using electronic health record systems, and can work independently while following established
  • clinical and administrative procedures.

Key Responsibilities

Administrative & Data Entry Support

  • Enter and update patient, demographic, billing, insurance, clinical-administrative, and other required information accurately within the electronic health record.
  • Maintain complete, accurate, and organized electronic patient records.
  • Review information carefully for missing, incomplete, inconsistent, or potentially incorrect details.
  • Follow up appropriately when additional administrative information is required.
  • Complete routine data-entry and administrative tasks accurately and efficiently.
  • Maintain organized electronic documentation and filing systems.
  • Ensure information is entered into the appropriate system and patient record.
  • Follow established workflows when updating or modifying healthcare information.
  • Escalate questions requiring clinical or professional judgment to the appropriate clinician.

Electronic Health Record Support

  • Work confidently within the practice’s Electronic Health Record (EHR) / Electronic Medical Record (EMR) environment.
  • Enter, update, organize, and retrieve patient administrative information.
  • Maintain accurate patient demographic and insurance information.
  • Upload and organize relevant administrative documentation.
  • Review records for completeness.
  • Ensure documents and information are associated with the correct patient.
  • Follow practice standards for EHR documentation and information handling.
  • Protect patient information at all times.
  • Prior experience with an EHR or EMR system is required. Experience with
  • behavioral-health-specific systems is an advantage.

Pharmacy Prior Authorizations

  • Submit pharmacy prior authorization requests on behalf of psychiatric providers.
  • Retrieve required clinical, medication, insurance, and patient information from the electronic health record.
  • Complete electronic and written prior authorization submissions accurately.
  • Verify that required documentation is included before submission.
  • Monitor the status of outstanding prior authorizations.
  • Follow up with pharmacies and insurance companies as required.
  • Communicate approvals, denials, requests for additional information, and outstanding requirements to the appropriate provider or administrative team member.
  • Maintain accurate records of prior authorization activity.
  • Support appeals-related administrative documentation when requested by the clinical team.
  • Follow open requests through completion rather than allowing them to remain unresolved.

Insurance & Healthcare Organization Communication

  • Communicate professionally with health insurance companies, pharmacies, healthcare institutions, and other external organizations.
  • Contact insurance companies when information, authorization status, eligibility details, or administrative clarification is required.
  • Document relevant information received during telephone calls or electronic communication.
  • Route information promptly to the correct internal team member.
  • Follow up on unresolved administrative matters.
  • Maintain professionalism even when dealing with complicated, delayed, or repetitive requests.
  • Never provide clinical advice or make decisions requiring licensed professional judgment.

Patient Communication & Telephone Support

  • Communicate professionally and compassionately with patients by telephone and approved electronic communication channels.
  • Respond to routine administrative questions within the scope of the position.
  • Obtain or clarify demographic, insurance, payment, pharmacy, scheduling, or other administrative information when required.
  • Route clinical questions to the appropriate licensed professional.
  • Maintain a calm and respectful tone when communicating with patients who may be frustrated, anxious, confused, or experiencing difficult circumstances.
  • Clearly document relevant telephone conversations and required follow-up.
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