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in Omaha, NE

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Hours Full-time, Part-time
Location Omaha, Nebraska

About this job

Job Description

Job Description
Department/Position Details/Duties:
· Primarily responsible for obtaining referral or authorization for treatment of Workers’ Compensation patients.
· Responsible for obtaining correct claim number, billing address for billing, adjuster address, phone number and fax number, case manager address, phone number and fax number.
· Responsible for obtaining all prior records and X-ray discs of patients before first appointment.
· Responsible for obtaining proper information and records for MVA or Third-Party liabilities.
· Coordinates with clinical staff to obtain approval to schedule Workers Compensation patients that are an unusual circumstance.
· Ensure case manager/adjuster or employer has set up interpreter services if needed for patient.
· Assists adjusters, case managers and employers with request for information in a timely manner.
· Assists clinical staff with obtaining the approval for testing and surgeries including, but not limited to MRI/EMG or Functional Capacity Exams.
· Maintains patient confidentiality by understanding HIPAA regulations.
· Completes items identified in work queues in a timely manner.Electronic Medical Record, Claims Processing, Medical Claims, Medical Coding