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Medical Administrative assistant(Claims experience)

22nd Century Technologies, Inc.
Pay rate: $25.00/hour on w2
United States, New York, Albany
Jan 22, 2026
Job Title: Medical Administrative assistant(Claims experience) Location: Albany, NY, 12210 Duration: Contract 24 + months Job Mode: On-Site Pay rate: $25.00/hour on w2 without benefits Job Description: Providing clerical and administrative support to the Prior Approval Units, including the preparation, organization, and assembly of Fair Hearing packets that need to be mailed to members, representatives and providers. Reviewing Fair Hearing packets for completeness and inclusion of all required documentation prior to distribution. Scanning and uploading all Fair Hearing documents for processing. Processing packages for mailing within required timeframes. Performing medical claims pricing for medical pended claims. Reviewing invoices, applying established pricing methodologies, and performing accurate calculations in accordance with Medicaid reimbursement rules. Entering pricing determinations and related data into the eMedNY system with high degree of accuracy and attention to detail. Identifying discrepancies, missing documentation, or potential billing issues and escalating appropriately. Conducting initial and basic reviews of requests for durable medical equipment and medical supplies using established criteria. Escalating cases that fall outside of standard criteria to clinical staff (therapists, nurses, or other designated professionals) for further review and determination. Responding to basic inquiries from providers and members via phone and email regarding prior approval status, documentation requirements, and general policy guidance in a clear, professional and courteous manner. Adhering to established workflows, turnaround times, and performance standards to support bureau-wide service level goals. Experience or Requirements: High School Diploma or equivalent required. Experience with Microsoft Word and Excel. Proficient in the use of standard office technology. Basic knowledge of medical terminology. Ability to be flexible, innovative, and work in a team environment. Strong written and verbal communication skills. Previous claims experience preferred but not required.