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Medcor provides outsourced health services to improve outcomes, service levels, and access to care, while reducing costs. Medcor uses highly trained professional staff, proprietary protocols, and state-of-the-art systems to achieve sustained, positive results. Medcor serves customers in a range of industries throughout the United States.
Posted 3 months ago
The Report Specialists support our Telephonic Triage service by processing calls and generating reports from supervisors or injured workers that do not require injury triage, yet fulfill client reporting requirements. Essential Duties and Responsibilities:Gathers information from injured workers or Supervisors and enters pertinent data into proprietary software to populate reports which fulfill our client specific requirements for reportingImmediately transfers injury calls to a Triage Nurse that were routed to him or her in errorAssists injury triage staff with data related questions as needed to process client reporting needsAnswer customer service calls and process non-triage client requests as needed relating to procedural and insurance questionsAssist with data entry into Medfiles/Afkam system as necessaryMust effectively and appropriately assist clients with problem solving any issues associated with their use of Medcor Injury Triage servicesResponsible for personal schedule adherence and accurately reflecting all shift activities using the phone systemFollows HIPAA Compliance Policies to protect the confidentiality of informationResponsible for projects and duties delegated by the Operations Director or Manager
Posted 3 months ago
The Nurse Specialist reports to the disability case manager and is responsible for managing short term disability claims for contracted clients from intake through approval for payment, continued monitoring of open claims and clerical functions to support these services. Main Duties and Responsibilities:Access claims submissions via fax and email, review for required information in compliance with client policies, accurate data entry, and communicate to client representative for paymentMaking decisions for approval or denial of claims using contractual, medical, and vocational analysisMaintain productive relationships with internal advocates, client employees and benefits representatives, and medical professionalsRespond in timely manner to high volumes of written (fax and email) and verbal (primarily telephone) communication with a wide range clients’ employee, client representatives, medical professionals in multiple communitiesContinual prioritization of conflicting demands with rapid response and efficient resolution.Frequent communication with internal team membersEnsure a high level of client satisfaction, meeting weekly reporting requirements and quick turnaround times for claims processingAssume the daily functions for the Disability Claims Manger when absent, whether planned or unexpected