Job details

Account Review Specialist

Company Overview:

Orchard Medical Consulting, an IMA Group Company, is a leading medical organization committed to providing high-quality, comprehensive medical assessments across various specialties. With a focus on occupational health, disability evaluations, and healthcare assessments, we strive to deliver exceptional care and support to our claimants.

Position Purpose:

Serve as a liaison between IMA/Zurich and IMA TCM/FCM Zurich Nurse Case Managers to ensure seamless communication and efficient operations.

This position is not considering candidates from New York City, Chicago, California, Colorado, or Washington states at this time.

Pay rate is $16-$19/ hour

Key Responsibilities:

Perform Nurse Case Management (NCM) file audits.
Review and respond to Zurich RAS requests.
Review invoices and reports for upload into RAS.
Update financial trackers and process diary date updates.
Review outstanding report lists and billings in accordance with account guidelines.
Resolve any issues with report submissions to the insurance carrier.

Education and Experience Requirements:

Required: High school diploma or GED equivalent with a background in Administration and Healthcare.
Preferred: Two years of experience in healthcare, especially in Workers’ Compensation, No-Fault, Claims, or Disability Insurance. A background in medical terminology or completion of a two-year college/business school program related to the medical or legal field is preferred.

Benefits:

Competitive Compensation: Your skills and dedication are valued, reflected in a salary that acknowledges your expertise.
Complete Health Coverage: Comprehensive Health, Dental, and Vision Insurance packages to ensure your well-being.
Balanced Lifestyle: Enjoy paid time off, holidays, and a floating holiday to maintain a healthy work-life balance.
Comprehensive Coverage: Benefit from LTD, STD, Flexible Spending Account, Company-paid Life Insurance, and ADD coverage.
Continuous Learning: Seize our tuition reimbursement program to fuel your ongoing educational journey.
Family Support: Embrace paid maternity leave, reflecting our commitment to supporting families.

The IMA Group is an Affirmative Action/Equal Opportunity Employer

Our Government Services Division supports local, state, and federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services. Our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities.

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