PIWC Team Lead

• Process and enter all new Personal Injury/Work Comp cases according to department protocols and procedures.
• Receive and review all records before providing to external customers
• Audit cases that are still open and pending with insurance companies.
• Research basic state laws regarding liens, settlements, and claims.
• Demonstrate quality fundamental knowledge, skills, and strategies regarding the claims process for personal injury and/or work comp.
• Learn to utilize the various EHRs effectively and efficiently and department software.  
• Maintain and monitor phone calls and messages.
• Keep detailed logs that are accurate and used on a daily basis.
• Monitor compliance regarding HIPPA rules and laws.

Qualifications

• Claims, billing, or revenue cycle experience of 2+ years
• Proficiency in Microsoft Office (Outlook, Excel, and Word)
• Ability to work professionally with many departments
• Excellent organizational skills and the ability to multi-task
• At least 1 year experience utilizing Waystar as a Clearinghouse and Denial Management Tool

Additional Information

All your information will be kept confidential according to EEO guidelines.

Disclaimer

All team members agree to consistently support compliance and TVG-Medulla, LLC policies and Standards of Excellence with regard to maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, adhering to applicable federal, state, and local laws and regulations, accreditation, and licenser requirements (if applicable), and Medulla procedures and protocols. Must perform other related duties and assist with project completion as needed. Team member may be required to provide necessary information to complete a DMV (or equivalent agency) background check.