What are the responsibilities and job description for the Access Specialist position at Berkshire Hathaway Homestate Company?
Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an immediate opening for a Medical Access Specialist. This critical support position will assist our Claims Adjusting teams in facilitating quality care for injured workers and advance claims outcomes by improving timely access to high-quality practitioners for appropriate medical care. Providing top-notch, timely care for injured workers in an effort to return them to pre-injury condition is a core objective of our company. This individual will work in close coordination with our Claims Professionals and the Networks and Panels teams to achieve optimal outcomes.
ESSENTIAL RESPONSIBILITIES
- Facilitate recovering worker care transitions to appropriate, high-quality medical providers.
- Research providers within, and if needed, outside the MPN to identify appropriate potential providers for our recovering workers.
- Utilize data analytic tools to identify high-quality providers.
- Facilitate appointments for recovering workers from initial care requests to complex specialist appointments.
- Maintain log of referral activity, questions, and answers.
- Encourage Claims personnel to seek medical access support by communicating when and how to submit referrals and managing expectations throughout the process.
- Determine current challenges with existing medical access and propose solutions.
- Research and identify providers to direct care to in areas of limited availability or acceptance of workers’ compensation insurance.
- Serve as liaison between internal departments, external clients, vendors, and providers.
- Build and foster positive relationships with providers and vendors to work together to deliver timely and appropriate care.
- Utilize our provider contacts and identify additional contacts.
- Gather and report on information regarding providers (e.g., practitioners looking to expand their practice, those who will be scaling back or closing, those not accepting work comp patients, etc.).
REQUIRED QUALIFICATIONS
REQUIRED SKILLS
WHAT WE OFFER
BENEFITS
49,740 - $74,860 a year
This pay scale is an estimate of the salary range the employer reasonably expects to pay for the position based on potential employee qualifications, operational needs and other considerations consistent with applicable law. The actual salary may be above or below the range. The pay scale applies only to this position and only if it is filled in San Diego, California. The pay scale may be different for other positions or in other locations.
ABOUT US
With more than 50 years in business, BHHC has grown from a regional organization to a national insurance group, offering insurance products from coast to coast. Relationships are the cornerstone of our culture, and we believe in doing the right thing. That means we invest in our business in every way possible to deliver on our mission and demonstrate that people are what powers our success. Our commitment to financial strength and integrity means our customers can rest assured that we will be there when it counts.
At BHHC we embrace diversity and foster an environment where our people can be their authentic selves. Our differences make us stronger and better together, which fosters a harmonious workplace—something we truly value. We’ve created an approachable and collaborative atmosphere. Here you’ll find a welcoming workplace where everyone can feel valued, supported, and inspired to do great work. Together, we raise the bar by being curious, remaining customer-focused, and operating with integrity.
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Salary : $49,740 - $74,860
