Resource Specialist

Description

DUTIES AND RESPONSIBILITIES:

• Contact Insurance companies to set up claims and send out letters of representation.
• Request reports, videos, and photos from police departments.
• Request medical records and itemized billing in case management software.
• Follow-up on requests proactively until received, and update status of requests in software.
• Update values in case management software when medical bills and EOBs are received; include any payments, adjustments, etc. in the multiple payments section of each entry.
• Contact client’s health insurance providers to request EOBs/itemized statements of benefits and send letters of representation with an updated medical authorization.
• Follow-up on EOB requests proactively (a minimum of once/week) until received; update statuses in the Comments section of each request and/or in the Notes section of the case management software.
• Save incoming mail and faxes daily while recording receipt in software.
• Pay invoices for medical records, litigation services, and police department requests.
• Perform other related duties as assigned by management.

Requirements

QUALIFICATIONS:

• Prior experience in Records Retrieval preferred.
• Bachelor's Degree preferred.
• Computer skills required; Microsoft Office Suite.
• Strong written and verbal skills required.