Responsibilities

• Collect specimens for drug testing.
• Follow departmental policies to correctly identify the patient before any specimen is obtained
• Properly label and document the specimens and prepare for shipment
• Demonstrate customer service and compassion when interacting with patients, physicians, and clinic staff
• Communicate with, understand, and react effectively to a diverse patient population base
• Follow Universal Precautions and all OSHA standards when handling specimens
• Strictly adhere to HIPAA guidelines
• Maintain neat, clean, and orderly patient/work areas at all times
• Order processing & office supplies as needed

Responsibilities

• Greet patients and staff as they enter/leave the office
• Answer heavy volume phone calls, email and mails
• Assist patient with completion of registration, insurance and other required forms
• Computer literacy and able to operate fax machine, multiple phone lines and other necessary office equipment
• Accurately record and collect payments and clearly explain financial obligations to patients
• Assist in sorting, scanning, packaging and distributing mail to appropriate party
• Identify and upload supporting documents into database
• Respond to requests for additional information/documents in a timely matter
• Provide accurate information and/or supporting documentation via phone, email, fax and mail.
• Must be able to work well with other team members to complete duties on a daily basis
• Must be able to communicate effectively with many parties and show a high level of professionalism
• Complete daily tasks such as maintaining proper record keeping in patient electronic accounts and keeping waiting area tidy

Responsibilities

• Greet patients and staff, and assist patient accordingly to their reason for being in the office.
• Assist patient with completion of registration, insurance and other required forms
• Complete front desk duties when needed, such as answering the phones, emails and scheduling appointments.
• Provide accurate information and/or supporting documentation via phone, email, fax and mail.
• Identify and upload supporting documents into database
• Updates patient history, physical exam, and other pertinent health information in the patient
• Prepares and assembles medical record documentation/charts for physician(s).
• Enters the patient room with the physician during patient visit to capture and transcribe medical record documentation utilizing electronic medical record applications.
• Prepares and sends all documentation to physician for review and approval via authentication of detailed data entry and facility-specific procedures.
• Able to communicate with office manager in creating reports and documentation to ensure office is running efficiently.
• Respond to requests for additional information/documents in a timely matter
• Must be able to communicate effectively with many parties and show a high level of professionalism
• Complies with hospital and medical facility policies, including those relating to HIPAA.
• Performs other clerical duties and tasks to improve provider productivity and clinic workflow as assigned.

Description

• CitiMed is looking for a Medical Assistant to assist our Neuro-Science Department. CitiMed’s medical professionals evaluate and treat patients with cognitive and emotional disorders. We specialize in TBI and Dementia as well as other neuropsychiatric disorders following different types of accidents. The Medical Assistant will work closely with our medical professionals in assisting patients in their treatment. The candidate will receive training and supervision as needed to adjust to this role.

Responsibilities

• Provide support to front desk when needed by completing basic clerical duties such as but not limited to filing paper medical records, processing insurance forms, preparing financial records, photocopying, answering phones, assisting with intake paperwork.
• Responsible for up keeping patients paper and electronic medical records. May be subjected to data entry, scanning and uploading documents and sending approved documents to appropriate party.
• Must be able to communicate with staff and providers to ensure patient flow is smooth and efficient.
• Provide pre-care and/or post care treatment as instructed by provider such as triaging, screening procedure if applicable, instructions on post care, future visits etc.
• Prep patient’s charts by ensuring required labs results and/or documentation are available for provider review before patient visit.
• Assist Medical provider with any related task, relating to the patient treatment.
• Perform necessary medical procedures in accordance to provider’s instructions such as cultures and/or phlebotomy, completion of requisition forms, labeling and route specimen accordingly.
• Performs related duties as required

Requirements

• Previous experience as a clinical assistant or in a similar role is preferred
• Knowledge of medical terminology and procedures
• Familiarity with electronic medical records (EMR) systems
• Ability to multitask and prioritize tasks in a fast-paced environment
• Excellent communication and interpersonal skills
• Strong attention to detail and accuracy
• Experience with X-ray procedures is required for this position is a plus.

Responsibilities

• Promote a professional and welcoming atmosphere to enhance patient services
• Provide support to front desk when needed by completing basic clerical duties such as but not limited to filing paper medical records, processing insurance forms, preparing financial records, photocopying, answering phones etc.
• Responsible for up keeping patients paper and electronic medical records. May be subjected to data entry, scanning and uploading documents and sending approved documents to appropriate party.
• Must be able to communicate with staff and providers to ensure patient flow is smooth and efficient.
• Provide pre-care and/or post care treatment as instructed by provider such as triaging, screening procedure if applicable, instructions on post care, future visits etc.
• Prep patient’s charts by ensuring required labs results and/or documentation are available for provider review before patient visit.
• Perform necessary medical procedures in accordance to provider’s instructions such as cultures and/or phlebotomy, completion of requisition forms, labeling and route specimen accordingly.
• Assist provider in recording reason for visit, diagnosis, treatment and visit summary.
• Assists physician with identifying patients, patient procedures and examinations, providing instruments to physicians and following appropriate protocols.
• Ensures patient is dressed accordingly to medical procedure and assists patient after procedure/examination when necessary.
• Maintain cleanliness and orderliness of exam rooms. Prep rooms with adequate supplies, ensuring medical equipment are working, cleaned and ready to use.
• Performs related duties as required.

Requirements

• Must have prior experience to working in a medical office or setting
• Must be CMA certified
• Must be bilingual

Responsibilities

• Explain procedure to patient and answer all questions and concerns.
• Preparing machinery/equipment for use as needed, including cleaning and sanitizing all necessary surfaces.
• Prepare examination room for testing.
• Prepare patient for testing by giving adequate instructions and removing necessary clothing and jewelry and positioning patients accordingly for imaging exams.
• Monitor patients during exams.
• Document accurate and relevant information in regards to provider’s instruction.
• Ensuring patient is safe and comfortable before and after exams.
• Operate equipment for imaging and anything related on various areas of the body in order to provide high quality images and information for patient diagnosis.
• Communicate effectively with other radiologists and health care professionals to ensure the all possible diagnosis and treatment are presented to the patient.
• Follow and comply with government regulations and to ensure the safety of patients and staff
• Evaluate MRI scans for technical quality, organize processed images and sequence of exposure and label appropriately.

Requirements

• MRI Tech Certification
• Graduated from an accredited Radiologic Technologist Training Program approved by the American Medical Association.
• MRI Technologist: 1-2 years MRI experience
• Experience with 1.2 Hitachi Oasis Open MRI
• GE 1.5 T Magnet experience a plus

Description

• The No Fault/Liens claims associate is responsible for the independent, prompt, and efficient evaluation, investigation, and resolution of assigned claims in accordance with legal statutes, policy provisions, and company guidelines to achieve positive results. Through effective investigation, coordination of medical care, negotiation, and interaction with clients, claimants, medical professionals, attorneys, and insurers ensure that the most advantageous outcomes are achieved, and client resources are utilized in a cost-effective manner. This position also provides technical expertise and serves as an advocate on client claim issues. Reporting to the No Fault/Liens A/R Manager, this position will be a key leader in the success of CitiMed’s future.

Responsibilities

• The No Fault/Liens claims associate is responsible for the independent, prompt, and efficient evaluation, investigation, and resolution of assigned claims in accordance with legal statutes, policy provisions, and company guidelines to achieve positive results.
• Effectively and accurately identify, analyze, and bring to RESOLUTION of case issues by
  • Reviewing and understanding EOBs, their related terms pertaining to No Fault and Liens.
  • Identifying insurance coverage eligibility through examination of claims documentation and relate records.
  • Resolving issues by collaborating with other departments to have bills and/or records corrected to prepare submission packets.
  • If needed, contacting patients, treating offices, and attorneys to resolve claims.
  • Reviewing and submit declaratory actions from court in order to submit to arbitrating attorneys for legal filings.
• Consistently, reconcile account balances and verify payments to ensure proper payment applications on claims.
• Review cases to determine arbitration eligibility. Adjudicate the claim effectively if arbitration is eligible based on department process guidelines.
• Obtain signed liens from attorneys for surgeries. If needed, provide pricing for surgeries.
• Coordinate with CitiMed arbitration attorneys for supplemental arbitration documents.
• Do not resort to only email communications with the necessary contacts if you are not successful in getting reimbursed, escalate your inquiry to a supervisor, contact the claim adjusters via the telephone and address the issue.
• Maintain a proper system of communication with the No Fault/Liens Claim Department & Verification Department, inform them about any cases you encounter that might require any update for billing purposes.
• Always maintain proper communication with the No Fault/Liens AR Manager in order to address any arising issues that you might not be able to resolve on your own.
• Maintain current knowledge of New York jurisdictional requirements and applicable case law.
• Maintain constant communication and if applicable, identify training areas with global resources to improve efficiency and accuracy.

Requirements

• Minimum 2-5 years of No Fault/Liens billing experience
• Understanding of No Fault regulations in NY
• Knowledge of HIPAA guidelines and compliance

Description

• CitiMed is looking for a strong individual that showcases immense leadership skills to manage one of our medical offices. We are looking for an office manager who had previous experience in running a medical office for more than 5 years. The new manager must possess outstanding organizational and communitive skills. They must be knowledgeable of operational functions and have a strong managerial background. Knowledge of Workers Compensation and No Fault is a plus. We are also looking for someone who can empathize and understand the needs of our staff and patients. Our new manager would be the lead contact and support of their designated office. They will have to work closely with administration to ensure the goals of CitiMed are met. If you have these qualifications and are interested in the job description, we encourage you to apply.

Responsibilities

• Function as a main contact and support for all staff, patients, clients and other parties.
• Responsible for keeping a positive relationship with all client’s vendors, and patients.
• Manages tasks related to hiring, staff development, staff performance in collaboration with administration and HR.
• Demonstrates the ability to multitask by providing guidance to staff, prioritizing patient needs and ensuring office is running efficiently.
• Responsible for managing staff and ensuring they are following all company policies and procedures and completing daily duties.
• Provides effective coaching and feedback to all staff and suggest creative ways to resolve related matters.
• Able to communicate and comprehend the needs of employees and provide necessary aid if needed.
• Ability to identify and solve problems independently, with an emphasis on developing proactive approaches while utilizing internal support.
• Understands the site’s strengths, challenges and overall productivity to meet administrations expectations.
• Implements processes and develops action plans to improve performance, customer satisfaction, productivity rates and overall operational functions.
• Provides reports on a (monthly/quarterly) basis with commentary outlining reasons for variance in data (productivity, service, etc.)
• Conduct administration duties for office such as scheduling, clerical duties such as onboarding new staff, providing appropriate paper work and handling any other related inquiries from administration or staff.
• Record and communicate trending issues relating to healthcare, performance, technical and operational to administration.
• Must be able to complete instructed projects and tasks from administration.
• Coordinates and communicates with other site managers to share positive practices.
• Work closely with clinical staff and clinical management to ensure quality of service is up to par and resolve any discrepancies.
• Work closely with internal resources to proactively identify risk and growth opportunities.
• Consult with Medical, Legal or Compliance departments regarding regulations, practices act, practice law, certification requirements etc.

Requirements

• Bachelor degree in related field (Healthcare Administration, Business Management/ Administration)
• 5+ years of experience in related position
• Spanish speaking is a Plus

Description

• We are looking for a Pain Management Physician to help care for our fast growing roster of patients. We are looking for someone who specializes in evaluating, diagnosing, and treating patients with traumatic injuries and pain management relating to injuries. While working alongside many other physicians, surgeons, specialists, PA’s and talented staff, the ideal candidate will hold a vital role in providing the necessary medical services to our community. Our new Physician would be responsible for providing care to existing patients as well as new patients. We are looking for someone who has a sincere passion for providing the appropriate health services and giving the best care possible. Please read below for the qualifications that we are looking for.

Responsibilities

• Evaluate patients and provide appropriate diagnosis for illness and/or injuries with bones, joints, ligaments and other related injuries.
• Carefully and attentively examine patient’s injury to treat, repair or improve functioning joints, bones, ligaments and/or other related injured body parts.
• Thoroughly examine patient’s medical history, test results and imagery to create and execute treatment plans.
• Ensure patients understand their diagnosis and receive relevant information.
• Must be open-minded when discussing various treatment option for patient, ensuring all options are taken into consideration.
• Document all patient evaluations, treatments, medications and transactions according to company policies and procedures.
• Monitor patients progress during and after treatments.
• Prescribe, administer and dispense medication in accordance with state and federal regulations.
• Share expertise with other medical staff to ensure that patient is receiving best care possible.
• Supervise Medical Assistants and PA’s to ensure compliance with all applicable regulations and procedures.
• Communicate with management and administration to ensure details of medical treatment are precise.
• Communicated extensively with all required parties to ensure all treating physicians, surgeon is on board with patient’s diagnosis, treatment plan and all necessary medical procedures.
• Answered all questions and addressed all concerns of the patient’s.
• Willing to advance patient care by expanding knowledge associated with surgical and technical procedures.

Requirements

• Medical Degree from an Accredited University
• New York Medical License
• Must have 5+ Years’ experience
• Previous clinical experience as a PM&R/Pain (Preferred)
• Previous work experience in work and motor vehicle related injuries (Preferred)
• Workers Compensation Authorized (Preferred)
• Licensed acupuncturist (Preferred)
• Knowledge of No Fault and Worker Compensation Laws and Regulations
• Must be willing to travel within NYC to CitiMed Locations.

Responsibilities

• Schedule appointments for patients.
• Answer telephone promptly and in a polite and professional manner.
• Obtain and enter accurate demographic information into patients account
• Ability to effectively triage calls to ensure appropriate scheduling
• Use judgment in handling calls to advise patients on best office and times to make appointments.
• Ability to speak clearly in order to communicate effectively between patient and provider, provide pre-visit instructions/directions, and relay provider instructions.
• Promotes sense of pride in call center and positive interpersonal relations among all team members.
• Demonstrates flexibility in providing coverage and/or availability for the call center via scheduling
• adjustments for unexpected absences, events, or call volume variances
• Scheduling patient visits and answer questions, including billing and preparation
• Communicating with patients about their status and condition through emails, phone.

Requirements

• Familiar with reading medical records
• Proficient in Google Sheets, Microsoft Excel/Word
• Extremely detail oriented /organized
• Able to meet deadlines
• Spanish OR Bengali speaking preferred**

Description

• We are currently looking for a Physiatrist to help care for our fast growing roster of patients. We are looking for someone who is highly trained in physical medicine and rehabilitation. The Physiatrist must be able to diagnose, treat and perform necessary rehabilitation services for all patients with injuries and pain related diagnosis. While working alongside many other physicians, surgeons, specialists, PA’s and talented staff, the ideal candidate will hold a vital role in providing the necessary medical services to our community. Our new Physiatrist would be responsible for providing care to existing patients as well as new patients. We are looking for someone who has a sincere passion for providing the appropriate health services and giving the best care possible. Please read below for the qualifications that we are looking for.

Responsibilities

• Diagnose, manage and treat pain from injury, illness, or medical conditions.
• Conduct extensive examination routine to help pinpoint difficult diagnoses.
• Create rehabilitation and/or treatment plans specifically to patients need with a goal to restore functionality and the healthiest wellbeing of patients.
• Document all patient evaluations, treatments, medications and transactions according to company policies and procedures.
• Ensure patients understand their diagnosis and receive relevant information.
• Prescribing relevant medications to help with patient’s pain, injury and regaining functionality.
• Instructing patients on proper exercise techniques, healthy nutritional behaviors and give adequate advice and support to patient as needed.
• Administer injections to a patient’s pain areas to help relieve pain and restore function.
• Must be open-minded when discussing various treatment option for patient, ensuring all options are taken into consideration.
• Must be able to consult and communicate with other physicians, specialists, and other medical professionals to optimize a patient’s treatment.
• Monitor patients' progress during and after treatments.
• Perform other related duties.

Requirements

• Medical Degree from an Accredited University
• New York Medical License
• Must have 5+ Years’ experience
• Previous clinical experience as a PM&R (Preferred)
• Previous work experience in work and motor vehicle related injuries (Preferred)
• Workers Compensation Authorized
• Licensed Acupuncturist
• Knowledge of No Fault and Worker Compensation Laws and Regulations
• Must be willing to travel within NYC to CitiMed Locations.

Description

• We are looking for a Physician Assistant to help care for our fast growing roster of patients. We are looking for a PA who is interested in caring for patients with injuries and assist in pain management health services. Our new PA would be responsible for providing care to existing patients as well as new patients. We are looking for someone who has a sincere passion about providing the appropriate health services and giving the best care possible. Please read below to see some of the responsibilities of a PA. If the description and responsibilities match your interest, we encourage you to apply!

Responsibilities

• Promote a professional and welcoming atmosphere to enhance patient services.
• Must be able to communicate with staff and providers to ensure patient flow is smooth and efficient.
• Respond to phone calls, emails, faxes and question in regards to patient concerns.
• Prep patient’s charts by ensuring required lab results, scans and/or documentation are present and be able to review relevant exams.
• Responsible for up keeping patient’s electronic medical records. May be subjected to data entry, scanning and uploading documents into EMR database.
• Document all medical findings during examination and record anticipated treatment.
• Perform necessary medical procedures such as triaging, physical examinations and other procedures according to patient’s reason for visit.
• Prescribe and refill medication as needed.
• Order specific test as needed such as bloodwork, X-Rays, MRI’s etc.
• Recommend healthy practices and discuss treatment options with patient.
• Identify when a specialist is needed and provide a referral.
• Conduct discussions with patients following their initial consultation with the physician.
• Assist Physician with all and any necessary examinations and treatments.
• Other duties as assigned.

Requirements

• 5 Years of experience as a Physician Assistant
• Preferred experience in Urgent Care or Emergency Room Setting
• Physician Assistant License
• Bachelor’s Degree

Description

• CitiMed is looking for responsible and motivated professionals in the Mental Health Field, to evaluate and treat patients with cognitive and emotional disorders. We specialize in TBI and Dementia as well as other neuropsychiatric disorders following different kind of accidents. Candidates will receive training, education and supervision to read patients in those fields.

Responsibilities

• Perform clinical interview plus short screening.
• Establish preliminary diagnosis and recommendations (referrals, further testing.
• Establish specific treatment plan, according to each patient’s conditions and diagnosis (psychotherapy, cognitive Rehabilitation)
• Document all patient’s interventions according to CitiMed policies and procedures.
• Ensure patients understand their diagnosis and receive relevant information.
• Inform patients about next steps of evaluation and treatment
• Must be able to consult and communicate with other physicians, specialist.

Responsibilities

• Assist front desk with simple reception duties such as signing in patients, scanning, emailing and communicating with different parties.
• Prepare physical therapy room with appropriate equipment, fitting to the scheduled patient’s need/appointment.
• Ensure cleanliness of physical therapy room and equipment by using disinfecting products. PT Aide must be willing to clean and sanitize equipment during patient visits.
• Assist a patient in moving from one area of therapy to another, Aides must have physical capabilities to move immobile patients including pushing wheelchairs, assist in sitting and standing.
• Observe and note patient progress during treatment to compile and evaluate and response to treatment and report to supervising therapist.
• Maintain inventory of all PT supplies.
• Instruct, motivate, safeguard and assist patients on practicing exercises and functional activities like ADL’s, transfers, standing support and ambulation with or without the use of an assistive device under the supervision of a physical therapist.
• Assist in the preparation of PT equipment and modalities needed for the treatment. Assist and administer the application of certain modalities such as hot packs, cold packs, TENS, PWB, ultrasound, exercise equipment’s, massage and exercises under the supervision of a physical therapist.
• Teach patients exercises for mobility, strength and coordination, training for activities such as walking with crutches, canes, or walkers and the use of physical agents and electrotherapy such as ultrasound and electrical stimulation.
• Ensuring patient and caregivers understand necessary exercises and new healthy practices.
• Other related physical therapy aide duties.

Responsibilities

• Accurately schedule all surgeries or medical procedures.
• Ensuring scheduling details are up to date and correct such as the use of proper scheduling and medical codes, surgery scheduled with appropriate provider, time and location.
• Effectively utilizes clinical knowledge when determining if appointment is consistent with the diagnosis/indications indicated by the provider.
• Verify patient’s demographics and assist patient in completing accurate documentation of informed consent with patients for procedures and surgeries as needed.
• Creating follow-up appointments post-surgery for patients
• Must be able to communicate with insurance company to finalize details, obtain a preauthorization for the procedure and sort out necessary details.
• Arrange all pretesting appointments with appropriate doctor to obtain medical clearance to move forward with surgery.
• Entering necessary notes/special instructions as needed and keeping medical records up to date.
• Place confirmation calls to all appropriate parties prior to scheduled surgery.
• Collects and distributes important paperwork to all parties as needed.
• Provides accurate, detailed information to patients regarding test preparations, time of patient's scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients.
• Reviews discharge instructions with patients and ensures proper follow-up appointments are scheduled at the time the procedure is scheduled.
• Performs all aspects of patient care in an environment that organizes patient safety and reduces the likelihood of medical/health care errors.
• Serves as a liaison between referring physicians and patients for the communication of all information regarding the scheduled procedures.
• Performs other related duties

Requirements

• Detailed oriented
• Able to work under pressure
• To communicate with many parties
• Pay attention to the fine lines
• Able to get things done quickly and efficiently
• 1-2 years of experience
• Spanish preferred but not mandatory.

Responsibilities

• Explaining procedure to patient and answer all questions and concerns.
• Preparing machinery/equipment for use as needed including cleaning and sanitizing all necessary surfaces.
• Prepare examination rooms for testing.
• Prepare patient for testing by giving adequate instructions and removing necessary clothing and jewelry.
• Provide patient with all necessary protective equipment.
• Position patients accordingly for imaging exams.
• Monitoring patients during exams.
• Document accurate and relevant information in regards to physician’s instruction.
• Reporting all findings to physician.
• Ensuring patient is safe and comfortable pre and post exams.
• Produce x-ray films of parts of the human body for use in diagnosing medical problems such as cancer or fractures.
• Prepare or administer required solutions and/or medications for patient.
• Adjust controls on the x-ray machine to produce radiographs of the appropriate density, detail, and contrast of the body part.
• Must be willing to travel to different location to meet patients who are unable to travel within NYC.

Requirements

• X-Ray Certification or Degree
• State License
• Vehicle for travel
• Must be able to move X-Ray machine.

Description

• The workers' compensation claims associate is responsible for the independent, prompt, and efficient evaluation, investigation, and resolution of assigned claims in accordance with legal statutes, policy provisions, and company guidelines to achieve positive results. Through effective investigation, coordination of medical care, negotiation, and interaction with clients, claimants, medical professionals, attorneys, and insurers ensure that the most advantageous outcomes are achieved, and client resources are utilized in a cost-effective manner. This position also provides technical expertise and serves as an advocate on client claim issues.

Responsibilities

• Promptly investigate all assigned claims from basic to more complex medical and indemnity files with minimal supervision.
• Make timely compensability determinations in accordance with jurisdictional requirements.
• Identify potential fraud indicators and notify management for further investigation.
• Notify excess carriers according to carrier guidelines, provide quarterly updates, and request timely reimbursement.
• Negotiate claims settlements within granted authority and accurately process and track award payments.
• Execute activities according to NY statute, best practices, and claim handling instructions.
• Highly effective verbal and written communication with internal and external parties to support the prompt resolution of claims and return to work in the most cost-effective manner.
• Analize all Notice of Decisions issued by the Workers’ Compensation Law Judges as it pertains to any individual cases you might be working on, apply the Worker’s Compensation Law Judge’s C-8.1 ruling to any of your outstanding/disputed medical bills.
• Maintain current knowledge of all the forms used by the Workers’ Compensation processes (C-3; C-2F; C-4; C-4.2; C-4AMR; C-4.3; HCFA1500; MG-2; MG-2.1; C4-AUTH; HP-1; HP-2; HP-3; HP-3.1; HPA204; C-8.1; C-8.4; EOR; NOD; NOPCD; RD; AD; MOBPD; NOA; EC-325), rules & regulations (Section 325-1.25; HP-1/HP-J1 processes; Medical Treatment Guidelines & WC Medical Fee Schedule)
• Maintain a proper follow up system for all cases/claims that you previously worked on to ensure timely reimbursement.
• Ensure that you are able to work a minimum of 5 cases per day depending on the case volume and any existing issues, draft excel spreadsheets, submit to claim adjusters, scan and document the case accordingly, ensure that a follow up is being done in a timely manner.
• Maintain your productivity spreadsheet up to date and ensure that your daily work is being documented accordingly.
• Ensure that you review the bills regeneration spreadsheet on the days you are assign for, make sure that all regenerated bills are being processed for resubmission in a timely manner (printing, mailing, documenting).
• Maintain a constant communication with the HP-1 department in PK, inform and submit requests for HP-1 process for any outstanding bills you might be able to identify as being eligible. (HP-1 should be filed no later than 165 days from the DOS and no earlier than 70 days from the bill date).
• Do not resort to only email communications with the claim adjusters/carriers if you are not successful in getting reimbursed, escalate your inquiry to a supervisor, contact the claim adjusters via the telephone and address the issue.
• Maintain a proper system of communication with the WC Claim Department & WC Verification Department, inform them about any cases you encounter that might require any update for billing purposes (Incorrect carrier; change in claim, WCB no#, billing address, etc.)
• Always maintain proper communication with the AR Manager in order to address any arising issues that you might not be able to resolve on your own.
• Maintain current knowledge of New York jurisdictional requirements and applicable case law
• Maintain constant communication and if applicable, identify training areas with global resources to improve efficiency and accuracy

Requirements

• Minimum 2-5 years of workers’ compensation billing experience
• Understanding of no fault & workers’ compensation regulations in NY
• Knowledge of HIPAA guidelines and compliance