PS Companies is working with a state department in Madison, Wisconsin, to find a temporary Office Assistant who will be responsible to resolve health care disputes over the reasonableness of fees and necessity of treatment for medical services provided to injured workers; prepare cases for resolution of disputes involving the pharmacy fee schedule; and provide professional and administrative support with handling claim correspondence.
Pay rate: $14.10 per hour.
Essential Responsibilities Include:
- Resolve medical fee and pharmacy fee schedule disputes in accordance with Wisconsin workers' compensation laws and administrative rules.
- Review, analyze, and document claim information; gather additional documentation as needed.
- Prepare cases involving treatment necessity for expert review and maintain case records.
- Draft orders and recommendations for dispute resolution.
- Provide technical assistance and information to internal staff and external stakeholders.
- Answer questions regarding workers' compensation laws, procedures, and health care disputes.
- Recommend process and policy improvements to enhance efficiency and customer service.
Minimum Qualifications:
- High School Diploma or GED
- Two years of related job experience and/or training
- Knowledge of workers' compensation principles, dispute resolution, medical terminology, and health care billing.
- Strong analytical, problem-solving, communication, and customer service skills.
- Ability to interpret statutes and administrative rules, analyze medical documentation, and work with claims management systems and databases.
- Proficiency with Microsoft Office and other computer-based systems.
- Ability to collaborate effectively, manage competing priorities, and make sound decisions in complex situations.
Work Schedule: 40 hr/wk Monday – Friday 7:45 am – 4:30 am
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EQUAL EMPLOYMENT
PS Companies will recruit and hire persons in all job classifications, without regard to a person’s race, color, national origin, age, religion, disability status, gender, sexual orientation, gender identity, genetic information or marital status.
Pay: $14.10 per hour
Experience:
- Medical terminology: 1 year (Required)
Work Location: In person
