In this role you will provide comprehensive administrative and operational support to Dr. Melody Hrubes' practice, with principal responsibilities including but not limited to:
Serve as liaison between the entry point of a Workers' Compensation claimant and all pertinent HSS services involved.
Serve as liaison with Workers' Compensation Insurance Companies and specialty providers to ensure a seamless transition of information, authorizations, and any other identified documents.
Gather all documentation from visits and submit to claims' adjusters and nurse case managers as required.
Verify accidents with claimants
Investigate and process workers' compensation claims
Create and manage the full cycle of workers' compensation claims, including intake, investigation, documentation, and resolution.
Stay up to date on federal and state workers' compensation regulations to ensure compliance in all aspects of claims management and reporting.
Obtain authorizations for services, document approvals within the Electronic Medical Record, and coordinate and schedule approved services.
Provide case coordination and oversight to streamline and expedite the provision of medical services to maintain good relationships with insurance carriers and HSS.
Facilitate all adjuster and nurse case management needs to ensure recurrent referrals.
Ensure needs of patients are being met and that quality customer experiences and outcomes are being delivered.
Provide education and support to providers and providers' staff to ensure proper pre-service, documentation, and authorizations processes are followed.
Compile and distribute reports as requested.
Establish and maintain case files, logs and indexes.
Monitor claimants' case histories, including any previous claims
Competencies / Skills:
Experience with Epic Medical Records System required ; strong computer skills required as well
Excellent interpersonal communication to maintain positive and productive working relationships
Experience working with insurance carriers, claims adjusters, and legal professionals
Experience dealing with claim investigations, settlements, litigation, and denials
Demonstrated knowledge of NYS Worker's Compensation Law
Demonstrated ability to successfully manage multiple tasks simultaneously demonstrating flexibility and creativity.
Superior written and oral communication skills
Exceptional customer service skills
Ability to follow through with tasks to completion
Strong organizational and problem-solving skills
Ability to multitask in a fast-paced environment
Ability to effectively and accurately follow directions or instructions
Ability to work collaboratively as part of a team; offers to help coworkers when needed
Detail-oriented
Ability to escalate issues appropriately
Consistently displays a positive attitude towards one's work and work environment
Knowledge of healthcare and health insurance, required
Familiarity with medical terminology and general office protocol required.
Ability to type 45-60 words per minute and exceptional organizational strengths is required.
Must be proficient in Microsoft Word, Excel, and PowerPoint.
Requirements
To qualify you must have a High School Diploma or equivalent (Associates Degree preferred) and at least two years of related MD office/healthcare experience
Must have at least two (2) Worker's Compensation experience (State workers compensation experie
Benefits
Health insuranceVision insuranceEquity / stock options
Additional Information
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HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment.
Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise.
Emp Status
Regular Full time
Work Shift
Compensation Range
The base pay scale for this position is $26.65 - $40.87. In addition, this position will be eligible for additional benefits consistent with the role. The salary of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.
Hss · New York, NY