Senior Workers' Compensation Analyst

🔥 12 hours ago

🎸 Tennessee – Remote

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⏰ Full Time

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Harris Computer

Harris Computer

10,000+ employees

Founded 1993

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Harris Computer is a company that provides mission-critical software solutions across various industries, including the public sector, healthcare, utilities, and private sector verticals. They focus on acquiring businesses with growth potential, managing them effectively, and building them for future success. Harris Computer serves over 100,000 customers with a global presence in North America, Europe, Asia, and Australia, employing over 12,000 people. Their mission is to empower customers to deliver on their goals by offering tailored software and services.

📋 Description

• Verify workers' compensation carrier and claim information before and during billing • Confirm carrier, claim, injury, employer, adjuster, claim status, and accepted body-part details • Obtain and document authorizations and referrals • Contact carriers, adjusters, employers, and web portals regarding outstanding bills • Prepare and submit accurate claims and correct errors • Prepare and submit appeals with required documentation within filing deadlines • Correct demographic and insurance information for billing • Identify and report trends, recurring denials, and billing issues • Improve workflows, reimbursement, and collection outcomes with leadership and management • Create, update, and maintain SOPs for workers' compensation and No-Fault processes • Mentor and train less-experienced team members as the workers' compensation and No-Fault billing expert • Manage complex and escalated accounts through resolution • Post payments and document payment records and issues • Scan and upload documents and medical records for claims processing and medical records requests

🎯 Requirements

• Knowledge of orthopedic and pain management billing • Knowledge of state workers' compensation guidelines • Knowledge of major insurance carriers • Ability to work workers' compensation and No-Fault accounts autonomously • Ability to negotiate with carriers and adjusters • Independent judgment within department policies • Experience or capability to mentor and train less-experienced team members

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