Job Description

Job Description

Job Description

This is a remote role with on-site requirements for initial training and periodic meetings in the office located in Hamilton, NJ throughout the year. Act ive New Jersey Medical Assistant Certification required

Medlogix delivers innovative medical claims solutions through a seamless collaboration of our Medlogix® technology, our highly skilled staff, access to our premier health care provider networks, and our commitment to keeping our clients’ needs as our top priority. Medlogix has a powerful mix of medical expertise, proven processes and innovative technology that delivers a more efficient, disciplined insurance claims process. The result is lower expenses and increased productivity for the auto insurance and workers’ compensation insurance carriers; third party administrators (TPAs); and government entities we serve.

OVERVIEW:

The Medical Assistant provides support services under direction of Case Managers in processing Workers’ Compensation claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Handles incoming calls from claimants, providers, adjusters and employers.
• Coordinates appointments i.e. diagnostics, PT, providers and DME.
• Monitors compliance in appointment attendance.
• Documents appointments scheduled and provider contact for requests of information.
• Assists Case Managers with return to work activities, i.e. secure job descriptions, RTW confirmation, etc.
• Communicate with adjusters via telephone and e-mail on a daily basis.
• Print and review diary in AM and PM.
• Obtain high priority medical treatment documentation for lost time and complicated medical only files, i.e. quick note, office note, letters, etc.
• Contact attorneys regarding appointment coordination.
• Coordinate high priority appointments such as one time evaluations, second opinions and need for treat evaluations.

KNOWLEDGE:

• Managed care related to Workers’ Compensation injuries.
• Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
• Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
• Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
• Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, transcription, designing forms, and other office procedures and terminology.

SKILLS:

• Must be able to operate computer, telephone, calculator, fax, scanner and printer.
• Strong interpersonal skills, communication and presentation skills.
• Must be detailed oriented.
• Understanding written sentences and paragraphs in work related documents.
• Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
• Consider the relative costs and benefits of potential actions to choose the most appropriate one.

ABILITIES:

• The ability to perform simple analytical reasoning.
• The ability to properly interpret policies.
• The ability to listen to, read and understand information and ideas presented in writing.
• The ability to apply general rules to specific problems to produce answers that are appropriate.
• Strong interpersonal skills, communication and presentation skills.
• The ability to listen to and understand information and ideas presented through spoken words and sentences.

CERTIFICATION:

• Act ive New Jersey Medical Assistant Certification required
• National Certification preferred.

EDUCATION, EXPERIENCE, and TRAINING:

• High School Diploma required.
• College Diploma preferred.
• Medical background required.
• Worker's Compensation experience preferred.
• Two plus years of Medical / Health-Related Experience required.
• Excellent communication skills, Computer Skills required.

Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

EEOC STATEMENT:

Medlogix provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.'

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