Implant Associate

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

Paradigm is hiring for a full-time, benefited Implant Associate. The Implant Associate is responsible for appropriately adjudicating workers compensation claims containing implanted devices.

What you will do:

• Perform detailed analysis of all claim related documents that may be associated with an implantable device procedure billing.
• Utilize company proprietary software to document analysis of claims and provide recommendations of payment to clients.
• Responsible for ensuring that both accuracy and efficiency is maintained throughout our operational processing of client implant case referrals.

Skills and Experience

• Associate's degree or up to 2 years of experience in a related field. Surgical healthcare knowledge is a must.
• Experience and/or knowledge of medical billing and common coding practices, including ICD-9/10 coding and medical terminology.
• Strong organizational skills and demonstrated ability to work independently and deal with multiple tasks simultaneously. Accuracy and attention to detail are also a must.
• Excellent communication skills both written and verbal, and internal personal skills
• Proficient in all Microsoft Office and computer application systems

What we offer:

• Health and wellness: We want our people to be and stay healthy so we offer a wide variety of HMO, PPO, and HDHP health insurance options with both Cigna and Kaiser Health.
• Financial incentives: Paradigm’s financial benefits also help prepare you for the future: competitive salaries, flexible spending, commuter accounts, paid life insurance, employer HSA, and 401k contributions.
• Vacation: We believe strongly that work-life balance is good for you and for our company. Our paid time off and floating-holiday programs give you the flexibility you need to live your life to the fullest.
• Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.