Workers' Comp Claims & Reporting Specialist

CitiMed; New York (NY); Vor Ort; USD 42.000 - 65.000; Vollzeit

Zusammenfassung

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.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

No-Fault and WC claims

NY No-Fault regs 68

ICD-10 CPT coding

HIPAA compliance

Data entry accuracy

Customer service

Ausbildung

High school diploma or equivalent

Tools

Google Workspace

Jobbeschreibung

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.