Medlogix, LLC delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.
GENERAL DESCRIPTION:
Process Auto Medical and Workers Compensation Bills through various work queues based on jurisdictional and process requirements of Medlogix clients.
JOB REQUIREMENTS:
- Process and reprice complex (e.g. coordination of benefits; lien processing; quality control) auto medical claims through different system queues in “first in first out” order and making sure to keep up with client and regulatory SLAs.
- Review of lower level bill repricing staff to ensure quality of review as well as areas of improvement.
- Handling of complex claim messages and bill reconsiderations.
- Review and adjudication of complex medical bill review processes in key jurisdictions such as New York, Michigan and Florida.
- Maintain communication when needed, between yourself and your supervisor
- Reach a daily average quota with the amount of claims/jobs you process
- Coverage for lower level bill repricing staff when needed.
- Other job duties as assigned
WORK EXPERIENCE REQUIREMENTS:
Required
:
- Excellent written and verbal communication skills
- Must be process and task oriented
- Computer savvy and previous experience using Microsoft Office Products
- 1+ years medical coding experience – CPT, ICD
- 1+ years experience in Medical Bill Repricing
Preferred
:
- Previous experience in Auto Claim Management
- Previous experience working in a production environment
EDUCATION REQUIREMENTS:
Bachelor’s Degree or Equivalent experience
EEOC STATEMENT:
Medlogix provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
