Medical Access Assistant and Provider Network Coordinator
R
Rising Medical SolutionsHealthcare, Workers Compensation
United States, Mountain or Pacific time zone preferredFull-TimeMiddle
Salary20 - 26 USD per hour
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Job Details
- Languages
- Bilingual English/Spanish preferred
- Required Skills
- Microsoft ExcelMicrosoft OfficePowerPointCRM
Requirements
- High school diploma required
- Two or four year college degree preferred
- Prior customer service experience, preferably in workers compensation or managed care role
- Telephone experience
- Telemarketing experience
- CRM experience
- Strong written communication skills
- Strong verbal / telephone communication skills
- Attention to detail
- Excellent planning and follow-through skills
- Familiar with Microsoft Office applications (Word, PowerPoint, Excel)
- Proven customer service skills with both internal and external customers
- Good listener—able to translate user requests into completed tasks
- Highly organized and able to manage multiple projects and competing tasks/priorities
Responsibilities
- Assist client, client’s policyholders, and injured workers to locate appropriate MPN providers.
- Supports insured and claimant compliance with the State MPN regulations.
- Supports the client’s Claims Examiners by facilitating access to the MPN and with application of MPN regulations.
- Assists injured workers and their representatives to locate providers and to set up appointments as necessary.
- Track requests and maintain logs of activity as required by the CA Department of Workers’ Compensation.
- Identify providers that are no longer seeing workers’ compensation patients, and communicate that information to the appropriate source.
- Manage the providers to be added to the network and to update the listing.
- Use the Rising Network provider search tool to locate providers, look up locations and/or specialties for client, policyholders, and their injured workers.
- Manage the Transfer of Care and Continuity of Care process for injured workers as directed by the client Claims Examiner.
- Ensure employer has ample supply of MPN information and has distributed to all employees.
- Assist employers with access and training on the use of the MPN provider search tool.
- Assist client and/or Rising management team with generation of basic reports tracking progress.
- Participate in ongoing training to enhance own job skills, knowledge, and professional growth.
- Special projects as assigned by client and/or Rising management teams.
- As needed and directed by client, assists claims adjusters in locating appropriate providers.
- Availability to monitor and respond to calls and emails on Saturdays as part of scheduled service coverage.
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