Verification & Reports Specialist

CitiMed; New York (NY); On-site; USD 42,000 - 65,000; Full time

Job summary

CitiMed in New York seeks a detail-oriented Worker’s Compensation Claims Coordinator to manage and resolve insurance claims. You will communicate with insurance carriers, the Workers’ Compensation Board, and internal teams to address denials, payment discrepancies, and verifications, ensuring timely reimbursement.

The role requires data entry, accurate record keeping in the electronic system, and meticulous documentation.

Qualifications

• High school diploma or equivalent required.
• Basic computer knowledge including Google Workspace (Docs, Sheets, Gmail).
• Experience with data entry and maintaining accurate records.
• Prior customer service experience preferred.

Responsibilities

• Communicate with insurance carriers regarding denials, overdue accounts, incorrect payments, and pending verification requests.
• Liaise with insurance carriers and the Workers' Compensation Board to obtain updated information and resolve issues.
• Assist mail clerks with sorting, scanning, packaging, and distributing correspondence.
• Track and reconcile payments to ensure full reimbursement for services rendered.
• Respond promptly to requests for additional documentation or information.
• Identify, organize, and upload supporting documents into the internal database.
• Prepare and submit proper documentation to request payments from the Workers' Compensation Board.
• Provide clear information via phone, email, fax, or mail as required.
• Collaborate with team members to maintain workflow efficiency.
• Maintain professionalism in communications and interactions.
• Review reports and ensure accurate record-keeping in electronic patient accounts.
• Perform other administrative duties as assigned.

Skills

No-Fault and WC claims

NY No-Fault regs 68

ICD-10 CPT coding

HIPAA compliance

Data entry accuracy

Customer service

Education

High school diploma or equivalent

Tools

Google Workspace

Job description

CitiMed is a unique medical facility that provides exclusive healthcare amenities to our community. The range of medical and rehabilitative services offered has been specifically selected to treat traumatic injury patients. We provide a variety of health services including diagnostic and rehabilitation. Our vision directs the evolution of our practice, as we strive to improve our services to the community. All CitiMed offices are multilingual and staffed with individuals to make any experience pleasant. You can learn more about us at https://www.citimedny.com/.

CitiMed is growing rapidly and we are looking for many qualifying individuals to be a part of our team! With the support and hard work of all our employees, CitiMed continues to make its way down a successful road. CitiMed maintains a work culture that allows our team members to feel supported and confident in their work. We offer many learning opportunities with room for professional growth. If the responsibilities interest you and believe you have met the requirements, we strongly encourage you to apply!

About the Role

This position is responsible for managing and resolving insurance claims with a focus on Workers' Compensation cases. The role involves direct communication with insurance carriers and the Workers' Compensation Board to address claim denials, overdue accounts, payment discrepancies, and pending verifications. Key duties include tracking and reconciling payments to ensure full reimbursement, preparing and submitting documentation for Workers' Compensation payment requests, and organizing/uploading supporting documents into the internal database. The coordinator also supports mail processing, responds to documentation requests across multiple communication channels, and maintains accurate records within electronic patient accounts and all while collaborating with the broader team to keep billing workflows running efficiently and professionally.

Responsibilities

• Communicate with insurance carriers regarding claim denials, overdue accounts, incorrect payments, and pending verification requests.
• Liaise with insurance carriers and the Workers' Compensation Board to obtain updated information and resolve outstanding issues.
• Assist mail clerks with sorting, scanning, packaging, and distributing incoming and outgoing correspondence.
• Track and reconcile payments to ensure full reimbursement for services rendered.
• Respond promptly to requests for additional documentation or information.
• Accurately identify, organize, and upload supporting documents into the internal database.
• Prepare and submit proper documentation to request payments from the Workers' Compensation Board.
• Provide clear and accurate information via phone, email, fax, or mail as required.
• Collaborate effectively with team members to complete daily tasks and maintain workflow efficiency.
• Maintain a high level of professionalism in all communications and interactions.
• Review reports and ensure accurate record-keeping within electronic patient accounts.
• Perform other administrative and clerical duties as assigned.

Qualifications

• High school diploma or equivalent required
• Basic computer knowledge, including familiarity with Google Workspace (Docs, Sheets, Gmail, etc.)
• Experience with data entry and maintaining accurate records
• Prior customer service experience preferred

Required Skills

• Basic knowledge of No-Fault and Workers' Compensation claims
• Familiarity with NY No-Fault regulations 68
• Understanding of ICD-10 and CPT coding
• Knowledge of HIPAA compliance standards

Equal Opportunity Statement

We are committed to diversity and inclusivity.