We are seeking an experienced Administrative Assistant II . Pl. go through the below description and let me know your interest. If you are interested, kindly share a copy of your resume to hr@vinsysinfo.com along with the rate / salary and best time to reach you.
Agency: Wisconsin Department of Workforce Development, Worker's Compensation Division
Location: 201 E. Washington Ave., Madison, WI 53703
Position Summary
Provide professional and administrative support for workers' compensation health cost disputes. Review disputes concerning medical fees, pharmacy charges, and treatment necessity; prepare cases and draft orders; maintain claim records; and assist parties with workers' compensation questions and procedures.
Responsibilities
Review incoming medical cost disputes for completeness, including supporting medical charges and payment denials.
Enter and track disputes in Excel and claims databases, associate disputes with existing claims, and initiate claim records when necessary.
Obtain additional information from employers, insurance carriers, employees, attorneys, and healthcare providers.
Research certified medical fees and draft payment orders consistent with Wisconsin statutes, administrative rules, and division guidelines.
Research pharmacy fee disputes and prepare draft final orders for review and signature by authorized officials.
Review treatment necessity disputes, clarify disputed issues, and compile case materials for expert review.
Notify parties when health cost disputes are on hold pending litigation.
Maintain accurate records of case progress and actions.
Answer technical questions about workers' compensation laws and procedures by telephone and written correspondence.
Support informal dispute conferences and recommend improvements to policies and procedures.
Knowledge, Skills, and Abilities
Knowledge of medical terminology and healthcare procedure coding.
Knowledge of investigative methods, customer service, and dispute resolution.
Ability to read, interpret, and apply statutes and administrative rules.
Ability to review medical reports and other supporting documents.
Proficiency with Excel, computer databases, and document imaging systems.
Strong written and verbal communication, problem solving, and conflict resolution skills.
Basic mathematical skills for payment calculations.
Ability to exercise sound judgment, work with diverse parties, and maintain cooperative working relationships.
Assignment Requirements
Wisconsin Department of Justice criminal background check before work begins.
Display an agency-provided photo identification badge.
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