WRS Group · 1 day ago
Claims Specialist
Novi, MI
Full-time
Hybrid
Entry Level
$50K/yr - $50K/yr
1+ years expWRS Group is a medical cost containment company that specializes in managing worker's compensation claims. They are seeking a full-time Claims Specialist to serve as the primary contact for customer support, facilitate resolution of open receivables, and maintain accurate documentation of claims files.
HospitalManufacturingMedicalMedical DevicePharmaceutical
Responsibilities
Serve as primary contact for inbound and outbound customer support by phone, email, or instant message
Facilitate resolution of open receivables by review of coding, product, contract, payment agreement, fee schedule and/or authorization terms
Work independently and as part of a team on invoice renegotiations, vendor management, and provider and patient relations
Review EOB’s and address denial and partial payment of invoices in a timely and accurate manner
Maintain accurate documentation of workers compensation claim files in multiple databases
Ensure quality components of service delivery and patient/payor satisfaction with services provided
Establish and maintain strong vendor relationships
Participate in process for continuous credentialing and quality monitoring of assigned accounts
Work with team to conduct cost analysis and identify margin opportunities
Demonstrate performance aligned with WRS guiding principles, including caring, collaboration, trustparency, and innovation
Qualification
Required
High School Diploma (or equivalent); college degree preferred
1+ year experience in a medical setting preferred
A customer focused approach to tasks and responsibilities
Must be analytical and solution-oriented with excellent problem-solving abilities, superior follow-up skills, and the ability to shift gears frequently throughout the day
Intermediate MS Suite, typing and email skills
Excellent verbal and written communication skills
Preferred
Familiarity of workers compensation state fee schedules preferred
Benefits
401(k)
Dental insurance
Health insurance
Paid time off
Parental leave
Vision insurance
Company
WRS Group
At WRS, we believe in a smarter way to manage pain.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Allan Bruford
Chief Technology Officer
Kevin Odle
Managing Partner
Recent News
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