Worker Compensation Claims Assistant

Position Description:

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

Skills Required:

• 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.
• Excellent oral and written communication skills.
• Proficient 10 Key Data Entry.
• Excellent personal computer skills, such as Word, Excel and Outlook.
• Ability to work in a team environment.
• Proven experience as a billing specialist.
• Comfortable dealing with numbers and processing financial information.
• High degree of attention to detail and trustworthiness.

Experience Required:

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

Education Required:

• High School diploma or equivalent.