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Workers Comp. Claims Specialist
2 months ago
The WC ROC/RORS Insurance Representative conducts investigations of rejected/denied claims ensuring timely follow up to guarantee reimbursement. Serves as a liaison with adjusters, insurance carriers and case managers to guarantee all claims are reimbursed in a timely manner.
Requires two or more years’ experience in medical insurance and billing in a clinic environment. Knowledge of Worker Comp processes and guidelines with strong understanding of ICD-10, HCPCS CPT coding and claim processes. Experience with insurance software programs such as GE Centricity along with basic computer programs. Excellent problem-solving skills, attention to detail and organization skills required. Requires attention to detail, ability to exercise good judgment and discretion as well as time management skills. Effective verbal and phone communication skills. Coding certification preferred but not required.
Must be able to work in a cooperative manner and maintain effective working relationships with management/supervisors, co-workers, customers and vendors.
Salary Range: $19-$25/hr.
*** Must be a resident of the state of North Carolina and able to commute on site within the Raleigh/Research Triangle area as required***
