Workers Compensation Claims Assistant

Position Title: Workers Compensation Claims Assistant

Location:Onsite. Dearborn, MI.

Pay: $20/hr.

Responsible for entering medical and miscellaneous invoices into the MBP (Medical Bill Payment) system a timely manner.

Requirements:

• High School diploma or equivalent.
• 2-3 years of data entry in Workers' Compensation or medical field.

Duties to include but not limited to:

• Data entry of medical and miscellaneous invoices into Medical Bill Payment and Miscellaneous Expense Payment ledgers, including expedited or special handling requests, for a multi-jurisdictional claim process.
• Proof and balance bill batches and transmit them to the Bill Processing Supervisor and/or Bill Reviewer for evaluation.
• Complete preliminary and final edit process to pay or deny bills as indicated by the Workers' Compensation Plant Representative.
• Communicate with vendors and Workers' Compensation Plant Representatives to resolve technical payment issues in a multi-jurisdictional claim system.
• Prepare non-PBM pharmacy bills and mail to PBM for repricing.
• Provide back-up customer service telephone activities.
• Mail EOBs.
• Support high-volume mail room functions.
• Collaborate with team members to resolve billing inconsistencies and errors.
• Translate codes on medical invoices.
• Perform in-depth analysis of medical invoices for proper documentation and correct calculations.

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