California Medical Evaluators: Triage Representative

Company Overview & ObjectivesWeare a growing medical-legal company with a network of over 160 physicians and approximately 80 employees performing medical-legal evaluations throughout California.

Our Mission Statement:We bring a unique approach to independent medical examinations.

We simplify the medical-legal evaluation experience by leveraging our vast network of highly qualified medical experts who provide simple and sound answers to complex medical-legal questions.

Core Values:Can-Do AttitudeTeam PlayerTenacityTempo, Tempo, Tempo Position SummaryTriage representatives play a very vital role in California Medical Evaluators.

Triage Representative will cross-check information and handles a high volume of billing for over 160 physicians.

Formats and verifies billing in reports.

Validates information and templates, and confirms that bills/reports are compliant with state regulations.

Works with doctors to optimize revenue.

Ensure all parties are served and other departments comply with deadlines.

Predict possible issues that could cause delay and work to prevent them.

PM shift:3:30pm 12:00am Essential Duties and Responsibilities:Formats reports and invoices, and verifies that required documents are available by the deadline.Calls to verify insurance and billing information with physicians.Follow-up with doctors on any missing information such as time spent.Works with management to resolve any billing issues.Perform data entry and post charge reports to all billing programs.Verify that valid templates are being used.Prints and prepares reports and bills for mail out and electronic submission.Amends any reports that need to be updated.Ensure bills/reports are compliant with state regulations.Optimize revenue for physicians.Cross-train with other tasks.

Qualifications and Preferred Skills:HS Diploma/GED required College Degree preferredMinimum 1 year experience in billingExperience with workers compensation and med-legal billing a plusMust be a team playerStrong interpersonal, written, and oral communication skillsProficient computer skillsAbility to work independently & excellent organizational skillsMust be Goal orientedMust be a Quick learnerAbility to MultitaskMust be able to prioritizeMust be attentive to detailMaturity and a Professional AttitudeDependability and a Strong Work EthicInitiative and MotivationAdaptability and FlexibilityAnalytical Skills

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