Job Description
California Medical Evaluators (CME) and California Medical Legal Specialists (CMLS) are affiliate companies of MDpanel
MDpanel Mission:
Develop, support, and advance the preeminent community of physicians for the efficient delivery of medical opinions to those in need.
MDpanel Vision:
Become the undisputed, gold standard for the delivery of world-class medical opinions where passionate employees and unparalleled technology support all stakeholders with perfect efficiency.
MDpanel Core Values:
Make Physicians Lives Easier
Shoulder all administrative tasks and make clinical tasks easier to optimize clinicians’ time
Deliver Unparalleled User Experience for Stakeholders
Utilize technology and empower our employees to provide an elevated user experience for clinicians, carriers, and patient advocates
Think Big, Start Small, Move Fast
Build a mindset of perpetual innovation rooted in pragmatic bets that matter
Help the Patient
Deliver objective, well-informed, and comprehensive opinions so patients receive the appropriate level of care for their specific needs
Embrace the Pace
Make higher-quality, situationally-appropriate decisions palpably faster than our peers
Support Each Other
Accept accountability for and positively contribute to our community of support and respect for our fellow employees
Position Summary:
Handles high call volume to follow up and collect on outstanding bills for physicians.
Shift:
Monday-Friday, 8:00 AM to 5:00 PM
Essential Duties and Responsibilities:
- Manage assigned list of Doctors accounts
- Submit timely appeals on all denied bills
- Respond to clear alerts from remote collectors
- Resubmission of bills and reports not received by insurance carriers
- Communicate with claims adjuster and defense attorneys to resolve payment issues
- Communicate with MDpanel Doctors regarding new W-9 request, payment inquiries, or answering Doctors questions on their accounts
- Follows up on outstanding bills
- Stays updated with Workers' Compensation and med-legal billing & guidelines
- Works with management to resolve denial trends and payer issues
- Data entry; posting updated notes on all files that are called on
- Determines when a bill needs to be forwarded to the litigation department
- Handle collection documents such as EOR’s, objections and settlements on assigned accounts
Qualifications:
- HS Diploma/GED required
- Minimum 1 year experience in collections
- Experience with workers' compensation and med-legal collections a plus
- Must be a team player
- Strong interpersonal, written, and oral communication skills
- Proficient computer skills
- Ability to work independently excellent organizational skills
- Responsible
- Strong phone and verbal communication skills
- Excellent customer service skills