Medical Administrative Assistant

Experience in any of the following disciplines a plus – CNA, Medical Assistant, Physical Therapy Aide, Workers’ Compensation, Medical Unit Claims Administrator, IME Coordinator, Medical Office Manager Experience with workers' compensation or disability (a plus!) Strong computer and internet skills (will work with programs including MS Word, Outlook, and Excel) Basic knowledge of/ability to read medical reports, or enthusiastic about learning medical terminology The ability to research evidence-based guidelines Proficient verbal/telephone and written communication skills A high level of efficiency, ability to maintain rapid workflow An aptitude for learning, organization skills and the ability to follow systems and procedures A time-management mindset, along with planning, and prioritization skills The ability to manage competing priorities in a fast-paced environment The ability to work independently as well as part of a team The ability to express empathy with injured and/or disabled people Deductive reasoning and think outside the box for creative solutions Independent thinking & problem-solving experience A bachelor’s degree, Associate's/Certification, or equivalent professional experience A customer service mindset

Manage and/or assign files to appropriate staff members and initiate appropriate verbal and/or written contacts with employers, clients, claimants, and medical providers. Set up files in all appropriate systems; assign files, when applicable, to the nurse Facilitate and schedule appointments as needed, and keep the Telephonic Nurse Case Manager (TCM), clients, claimants, providers, and employers informed verbally and/or in writing of any changes, delays, updates, or problems Maintain appropriate electronic and paper files Obtain authorization for medical release of information from the adjuster, as necessary, for records acquisition Interface with a variety of inter-disciplinary providers (e.g., PT, diagnostic, psychology, etc.) Identify, maintain, and update participating providers Utilize Share Point tool for evaluating case risk, and input all activities (including verbal and written discussions) into the Ultimate database and customer/client system Answer incoming calls, and direct the call appropriately Process all documents using computer, copier, and scanner Search and copy the appropriate internal criteria guidelines, when appropriate Screen all re-open files (subsequent URs) to determine duplicate requests, vs. an appeal request that is beyond the allotted timeframe, vs. a reconsideration, vs. a new UR Basic invoicing Continually improve job skills and knowledge of all company products and services as well as customer issues and needs, through ongoing training and self-directed research. Adhere to company policies, procedures, and reporting requirements.