What are the responsibilities and job description for the Worker Compensation Claims Clerk position at Optimal Inc.?
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.
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