A ππΆπΉπΉ π£πΏπΌπ°π²πππΌπΏ is responsible for reviewing and correctly case assigning physical medicine bills to new or existing cases. This critical role requires the individual to evaluate and confirm compensability and eligibility on said bills to make sure that they are in compliance with our company directives, treating provider contracts, jurisdiction state rules, and client specified procedures/guidelines.
PRIMARY DUTIES AND RESPONSIBILITIES
- Review bills to determine eligibility for processing
- Validate existing data for accuracy and completeness and make outbound calls to providers and clients as needed to obtain critical information and/or verify compensability
- Perform a variety of administrative duties, including but not limited to the following: Answering phones; Faxing and filing of confidential documents; and Basic Internet and email utilizations
- Provide excellent and professional customer service to external and internal customers
- Work special priority projects as assigned within established turnaround times
- Complete other duties and projects as assigned
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- High School or College Graduate
- Experience in the BPO (Healthcare) industry preferred, but not required.
- Experience handling inbound or outbound calls is a plus, but not required
- Preferably with knowledge on the US Healthcare system, particularly with HIPAA regulations and compliance
- Prior experience in medical billing or in a health-related field preferred, but not required
- Excellent verbal and written communication skills.
- Proficient in MS Word and Excel and general computer literacy, working with dual screens
- Organizational skills, prioritization, problem-solving and decision-making skills are required.
- Ability to multi-task in a fast-paced environment .
- Strong analytical and interpersonal skills are also required.
Skills Required
- High School or College Graduate
- Experience in the BPO (Healthcare) industry
- Experience handling inbound or outbound calls
- Knowledge on the US Healthcare system, particularly with HIPAA regulations and compliance
- Prior experience in medical billing or in a health-related field
- Excellent verbal and written communication skills
- Proficient in MS Word and Excel
- Organizational skills, prioritization, problem-solving and decision-making
- Ability to multi-task in a fast-paced environment
- Strong analytical and interpersonal skills
What We Do
Founded in 1994 and headquartered in Conshohocken, Pennsylvania, MedRisk was established with a mission to revolutionize physical rehabilitation for workers' compensation patients. Over the last 30 years, the company has evolved into a leading managed care organization dedicated to physical rehabilitation and medical bill review for the casualty claims industry.
