Department:
10604 Advocate Aurora Health Corporate - Workers Compensation
Status:
Full time
Benefits Eligible:
Yes
Hou
rs Per Week:
40
Schedule Details/Additional Information:
This is a full-time role offering on-site in Oak Brook with some remote work from home opportunity.
The Workers Compensation Claims Support Spec provides support and backup for the administration of workers' compensation claims for the organization.
This position requires critical thinking and excellent customer service. The Claims Administration Support will have considerable phone interaction with both internal and external stakeholders, leadership, and the WC Team. Consistently being at work and timely, is inherently required of this position.
Major Responsibilities:
Must possess analytical skills and be able to work with a sense of urgency and accuracy. Must remain highly engaged and efficient supporting the Workers' Compensation Team within the standard of work guidelines.
Must be able to monitor the Workers' Compensation phone line; return calls to provide answers, be able to offer guidance and/or support to the Workers Compensation Team.
Must be able to assign claims to the proper WC Team Member to include sending acknowledgement letters, ISO inquiries, medical authorizations, setting initial reserves and diaries as well as maintain a diary.
Must be able to monitor and accurately attach incoming medical records, mail/email/faxes to open/closed files.
Must be able to process tasks/requests as requested by WC Team and other customers; including but not limited to vendor maintenance in claims administration system, handling check and payment requests, billing issues/inquiries and the resolution of those issues/inquiries and Research returned checks/payment, determine resolution then resend or void payment.
Must be able to request offsite records and follow-up on outstanding items as needed.
Must be able to complete required state forms for WC Team upon request.
Must be able to maintain strict confidentiality of information at all times of a sensitive nature and/or protected under state and federal law.
Must be able to provide additional support for all other projects and duties as assigned.
Education Requirements:
High School diploma required; Bachelor's degree a plus.
Experience Requirements:
One or more years of Workers' Compensation and/or Liability claims support or handling experience, customer service or general clerical experience.
Knowledge, Skills & Abilities Required:
Must be able to prioritize work.
Must work with a sense of urgency and accuracy.
Must be able to work independently and with a team.
Must have familiarity with medical terminology.
Must be able to manage multiple tasks simultaneously, make difficult decisions and focus on details.
Must have excellent verbal and written communication skills.
Must be proficient in Microsoft Office products.
Limited access to protected health information (PHI) to the information necessary to do the job.
Sharing of information only on a need-to-know basis for work purposes.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
