Are you a business? Hire claims reviewer candidates in New York, NY
We are seeking a highly-motivated, professional, and reliable individual to fulfill a Paralegal position in the Workers’ Compensation Department of an established Glendale, Queens Office. Central daily responsibilities include: Heavy volume client communication; periodic file reviews; hearing preparation; follow-up on carrier payments; evaluation of case status; follow-up on medical requests with doctor’s offices; coordinating medical care and determining status of client treatment; filing of fee applications; contact with claim’s adjusters; drafting of correspondence to all appropriate parties; and explanation of detailed legal issues to clients. The ability to handle heavy call volume with outstanding customer service skills is imperative in maintaining this position. The ability to set priorities and successfully manage any changes in priority is required. The ideal candidate for this position enjoys strong client contact and communication. You must enjoy working on the phone, as that is critical your success and enjoyment at this firm. The ideal candidate must possess the following attributes: •Knowledge of Workers’ Compensation law; •Ability to communicate clearly and effectively with a variety of individuals; •Strong customer service skills and excellent telephone manner; •Supreme organizational skills; •Ability to work independently and maintain accuracy in a fast-paced work environment; •Ability to multi-task and appropriately manage time and responsibilities; •Ability to maintain and coordinate numerous records and files; •Professionalism; •Ability to communicate effectively with in-office executives; and •Dependability Prior experience as a Workers’ Compensation paralegal is a MUST. Fluency in Spanish is preferred. We are willing to hire the right individual immediately. Pay is competitive and commensurate with experience.
Oversee and manage the payment posting team, ensuring accurate and timely posting of payments for Workers Compensation and No-Fault claims. * Review and resolve discrepancies in payment postings ...
Conducts internal auditing independently through chart and precision care reviews * Follow-ups ... ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing ...
Enter all documentation in the electronic medical record system, verifying accuracy and reviewing ... ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing ...
Initiates Surgical Review Committee (if indicated), conduct ongoing collaboration with hospital ... ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing ...
Participates in interdisciplinary team meetings and annual reviews as required by each division ... ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing ...
A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required; OR * Three years of ...
Review assessments to determine if the correct conclusion for eligibility of services was reached ... ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing ...
Reviews all medical records and paperwork, including annual physicals and medical visit ... ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing ...
... ● Quality Assurance/Review, Performance Improvement, HEDIS ● Nursing Leadership ● Case ... ● Claims Appeals/Denials/Reimbursement ● Insurance Pre-Authorizations ● Medical Billing ...
Coordinates with employers and claims professionals to manage medical care in order to return ... We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion ...
Direct supervision means that the pharmacist has reviewed the prescription or drug order prior to ... clean claims through compliance to proper pharmacy billing procedures · Works with supervisory ...
