Prepares future medical cost projections and Medicare Set-aside Allocation reports. Interacts regularly with customers providing excellent customer service. Communicates daily with internal teams at IMPAXX.
Requirements
- Reviews and analyzes medical records, claim file documents, hearing orders, and depositions for preparation of allocation reports.
- Researches Medicare coverage, jurisdictional, and regulatory guidelines.
- Communicates frequently and effectively with Team Leader, Coding Team, Clinical Director, and Referral Coordinators.
- Ensures thorough and accurate file documentation including data entered into MyConnect.
- Reviews auto-MyConnect pricing function to ensure accuracy.
- Proofreads both calculation and summary generated.
- Provides feedback for possible improvements to workflow processes within the MyConnect system.
- Delivers allocation report to customer identifying exposure and mitigation opportunities.
- Responds to direct inquiries from customer regarding delivered allocations or other MSP compliance questions from customer or facilitates the direction to the appropriate team.
- Reviews, analyzes, and communicates CMS counter opinions as assigned.
- Maintains confidentiality and security of all medical records received and reviewed.
Benefits
- Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
- Paid Time Off, Holidays, Preferred Partner Discounts and more
