Workers' Compensation Medical Bill Specialist - Eastern Alliance

ProAssurance • Lancaster, PA

3d • $17 - $28 • Hybrid

About The Position

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States. This position supports our workers' compensation line of business, Eastern Alliance and will report to our Lancaster PA office five days per week for the first three months. Thereafter, this position will work in-office at least one day per week. The primary responsibility of the Medical Bill Specialist is to consistently execute the Company’s ecovery® Return to Wellness philosophy and business model that leads to better outcomes for our injured workers and insureds. The primary responsibility of this position is timely and accurate processing of medical bills to deliver superior levels of customer service, maximize savings and ensure compliance with regulatory requirements in support of the Company’s revenue and profitability objectives and overall business plan.

Requirements

• High School diploma or GED is required plus a minimum of three years of experience in a medical office, claims or similar environment is required.
• Basic knowledge of medical terminology and/or ICD-10 codes is required.
• Proficiency in Microsoft Office computer applications, including Word & Excel, and ability to learn new software.
• Attention to attend to in processing payments and entering data, establishing priorities and meeting deadlines.
• Ability to handle multiple priorities simultaneously.
• Excellent organization and time management skills.
• Ability to assess the urgency and importance of a situation and take appropriate action.
• Empathic listener with the ability to listen and respond to another person in a way that engenders mutual understanding and trust.
• Ability to communicate effectively and professional both verbally and in writing with various constituencies and at all levels, both in and outside of the organization, including agency partners, customers, injured employees and providers.
• Ability to maintain confidential information.
• Ability to operate standard office equipment including, but not limited to copiers, printers, etc.

Nice To Haves

• Certification in medical billing and coding preferred.

Responsibilities

• Process medical bill information received from StrataWare Hold Report, TriZetto Return Report and/or Vendor Que; verify accuracy of information on the form including units, providers, account numbers, tax ids and dates of service, release accurate bills from to PPO vendor, and approve or deny any unassigned bills returned from PPO vendor.
• Review all bills for compliance with state fee schedules according to regulatory requirements and procedures; re-price according to state guidelines when needed.
• Respond to telephone inquiries from agents, customers, injured workers and providers in a professional, courteous and timely manner, providing high levels of customer service at all times.
• Prepare and print form letters as necessary to request additional information according to company procedures and print checks in specified accounts, as a backup function.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED