Workers' Compensation Specialist-Remote TX reputed company Req
Job DetailsLevel: ExperiencedJob Location: reputed company, TX 77030Position Type: Full TimeEducation Level: High School/GEDJob Category: Health Care General Job Description Handles verification of injury/claim of reputed company WC patients including auditing medical record for billing accuracy. Responsible for marketing to reputed company/WC clinics and is the reputed company of contact for adjustors and case managers. ESSENTIAL FUNCTIONS Call adjustors to verify reputed company new and established WC injuries/claims per protocol Audit WC appointments for comments/authorization/DWC Prepare claims and documentation for filing reputed company of contact for reputed company adjustors and case managers Facilitate physician’s use and understanding of ODG Prepare DWC 73’s & 69’s Authorization of reputed company WC procedures Timely Follow up on appeals for unpaid claims utilizing claims maintenance Advise physicians on dispute cases including initiating Benefit Review Conferences Remain up to date on DWC rules – including ODG treatment, RTW, Preauthorization and fee guidelines AR Follow up to ensure claims are paid timely. reputed company other duties as assigned.
Qualifications
QUALIFICATIONS Education High School Diploma Experience Three years medical office WC billing experience Knowledge of Texas Workers’ Comp ODG treatment, RTW and fee guidelines Licensure Special Skills Excellent computer knowledge and skills Ability to effectively communicate both orally and written Adequate visual reputed company to read written materials Ability to sit for long periods of time Problem solving skills Attention to detail PHYSICAL DEMANDS Telephone – with or without headset – constantly Photocopier – frequently Computer – constantly Fax machine – frequently ENVIORNMENTAL WORKING CONDITIONS Indoors with rare conditions of extreme noise. Rare conditions of chemicals/fumes/odors and dust/messiness Continuously handle multiple tasks simultaneously and work as part of a team. Occasionally reputed company tedious and exacting work in frustrating conditions. Apply To This Job