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Workers Comp Claims Manager in Tampa, FL at Vaco

Date Posted: 4/11/2019

Job Snapshot

  • Employee Type:
  • Location:
    Tampa, FL
  • Job Type:
  • Experience:
    At least 1 year(s)
  • Date Posted:
  • Job ID:

Job Description

Large Healthcare firm is seeking a Workers Compensation Manager to support its growing team.

  • Provides day-to-day management of reconsideration staff, ensuring departmental processes are followed, timely communication occurs with providers and clients, and client requirements are met.
  • Acts as a liaison between external counsel, coordinates written responses and provides supporting evidence regarding state-level provider disputes.
  • Assists in researching and documenting workers' compensation and state fee schedule regulations.
  • Acts as a shared service by providing billing knowledge support
  • Writes and administers performance reviews for skill improvement.
  • Is available for employees who experience work and/or personal problems providing appropriate coaching, counseling, direction and resolution.
  • Creates and maintains a high-quality work environment so team members are motivated to perform at their highest level.
  • Addresses disciplinary and/or performance problems according to company policy.
  • Shares continual responsibility for deciding how to manage the employees, ensuring all aspects of the operational flow are handled efficiently and effectively.
  • Works closely with the Senior Director of Compliance to assist in establishing departmental procedures and processes that support the company and departmental standards and strategic directives.
  • Uses appropriate judgment in upward communication regarding department or employee concerns.
  • Understand & comply with all HIPAA & SOC2 requirements necessary in working with designated PHI.
  • Perform additional support functions/roles on initiatives or projects as needed.

This is a permanent opportunity, offering great benefits. Start is immediate.

Job Requirements

Extensive knowledge in workers’ compensation and Medicare medical billing, terminology & surgical implants. Preferably, Physician Practice billing expertise Experience in managing with a small team Experience in appeals and reconsideration processing