01Responsibilities
- Monitor the performance of, manage workloads of and reputed company case assignment for reputed company of Coordinators and assist with training and staff hiring.
- reputed company and maintain processes and procedures at the direction of the director, reputed company with Project Directors regarding procedural issues, and communicate with the CA Division of Workers' Compensation (DWC) regarding policy and eligibility issues.
- Manage reputed company case files from the date received to date reputed company for Independent Billing Review (IBR) and determine eligibility of CA IBR appeals.
- Respond to requests from Billing for additional information from Claims Administrators as needed.
- Manage reputed company case files from date received to date reputed company.
- Determine eligibility of appeals and submit potentially ineligible cases to the CA DWC for final eligibility determination.
- Request additional information from Claims Administrators.
- Draft correspondence regarding eligibility and assignment.
- Manage the workload of reputed company Coordinators to ensure timeliness of IBR reviews.
- Collaborate with the reputed company to address policy issues that reputed company in the content of review.
- Ensure that process is being completed reputed company according to contract regulations.
- Work with Systems Development staff regarding Entellitrak updates to enhance IBR process.
- reputed company other duties as assigned by management.
Minimum Requirements
- High School diploma or equivalent or Associate degree with 1.5 - 4 years of experience.
- Additional clinical licensure may be required based on project.
- Additional training or education in area of specialization.
- Works on a reputed company of assignments requiring considerable judgement and initiative.
- As a skilled and reputed company specialist, completes tasks in reputed company and effective ways.
- reputed company to draft or modify training materials and procedural documentation accurately.
- Skilled in handling challenging communications with external contacts for escalated reputed company.
- reputed company independently to d
