Extensive experience in case management and workers compensation laws/URAC.
Performs diverse administrative responsibilities for the company.
Coordinates various projects, and multiple sales reports.
Complete all invoicing and billing to include Lake Mary and Tampa offices.
Manage and process all vendor/clients invoices and ensure integrity of reports from case managers to comply with URAC Guidelines.
Provide Case Management assistance for 15 Field Nurses and 8 Telephonic Case Managers to insure accuracy of reports and billing per customer’s contracts.
Invoicing/ Monthly Sales Reports and Bonus Reports for case managers to include Field Case, Telephonic, IME, Peer Reviews, NFR, MSA’s and more..
Collections to make sure all accounts are paid timely.
Claims Entry into Medcheck system for specific accounts for bill review.
Knowledge in all Workers Comp to include the FROI into systems and assignments to Nurses per URAC Guidelines.
Cost Savings on each file closed with RTW.
Pay customer set up for all new clients with pricing, work rate sheets, mileage and expense reporting.
Perform Trend Analyses and estimated future costs
Knowledge of Workers Compensation laws and regulations