Settlements Clerk

Advanced Medical Management LLC
Middle River, MD Full Time
POSTED ON 5/10/2024 CLOSED ON 5/24/2024

Job Posting for Settlements Clerk at Advanced Medical Management LLC

About Us

At Excelsia Injury Care we provide management services to a host of healthcare companies throughout Maryland, Delaware, Virginia, Pennsylvania and Missouri which furnishes high-quality integrated healthcare to people suffering from neuro-musculoskeletal injuries. The healthcare companies we manage and service offer an extensive slate of office-based diagnostic, surgical and rehabilitation services, provided by compassionate and skilled professionals who medically manage each patient from evaluation through treatment to ensure patients have the best achievable outcomes. Our healthcare companies are leaders in care delivery for personal injury and worker’s compensation patients and have a proven track record of returning patients to their highest level of activity as quickly as possible. We are devoted to furnishing highly competent and timely services in compliance with all applicable legal, regulatory and ethical standards; a commitment to doing things right. We strive to be a good corporate citizen and integrate ESG (environmental, social and governance) considerations within our Enterprise business practices. Our mission is to benefit the healthcare companies we serve, as well as all our collective employees, and communities.

Job Duties

  • Process requests for bills reductions received from the representing attorneys via phone, email, fax, and MSHC web portal
  • Upon receipt of the request generate settlement sheet utilizing specialized application
  • Obtain all necessary case information to justify the need for a reduction
  • Forward the completed settlement sheets in batches to the Upper Management for approval
  • Notate the approved reduction agreements in the billing software and scan into the document storage system
  • Communicate with the BSO billers and payment posters to resolve any billing and payment issues identified while processing the reduction requests
  • Follow up on unpaid agreements utilizing Artiva application according to the set policies
  • Other duties as assigned

Minimum Requirements

  • High School diploma or GED equivalent

Working knowledge of insurance billing and collection procedures, as well as third party settlements and litigation rules

Additional Skills/Competencies

  • Excellent verbal and written communication skills
  • Knowledge of computer applications, including Windows, Outlook, and Microsoft Office
  • Problem solving and organizational skills
  • Typing – 50 WPM
  • Knowledge of insurance plans, workers’ compensation, and personal injury
  • Ability to effectively interact with doctors, attorneys, patients, and co-workers

Physical/Mental Requirements

Sitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs.


Diversity Statement

Excelsia Injury Care is an equal opportunity employer. We commit to a policy of nondiscrimination and equal opportunity for all employees and qualified applicants without regard to race, color, religion, creed, gender, pregnancy or related medical conditions, age, national origin or ancestry, physical or mental disability, genetic predisposition, marital, civil union or partnership status, sexual orientation, gender identity, or any other consideration protected by federal, state or local laws.

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